Provider Demographics
NPI:1477974178
Name:AHC HOME HEALTH OF KANSAS CITY LLC
Entity Type:Organization
Organization Name:AHC HOME HEALTH OF KANSAS CITY LLC
Other - Org Name:ADVANCED HOME & HOSPICE OF KANSAS CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-447-9860
Mailing Address - Street 1:9233 WARD PKWY STE 275
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3366
Mailing Address - Country:US
Mailing Address - Phone:913-890-8448
Mailing Address - Fax:
Practice Address - Street 1:9233 WARD PKWY STE 275
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3366
Practice Address - Country:US
Practice Address - Phone:913-890-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-23
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
178106Medicare Oscar/Certification