Provider Demographics
NPI:1427377100
Name:DEVOTED SISTERS IN HOME CARE, LLC
Entity Type:Organization
Organization Name:DEVOTED SISTERS IN HOME CARE, LLC
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:KILBANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-452-2117
Mailing Address - Street 1:2825 NE KENDALLWOOD PKWY
Mailing Address - Street 2:APT 2
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64119-2025
Mailing Address - Country:US
Mailing Address - Phone:816-452-2117
Mailing Address - Fax:816-452-2117
Practice Address - Street 1:2825 NE KENDALLWOOD PKWY
Practice Address - Street 2:APT 2
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-2025
Practice Address - Country:US
Practice Address - Phone:816-452-2117
Practice Address - Fax:816-452-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care