Provider Demographics
NPI:1508276163
Name:HOUSECALLS OF KANSAS, LLC
Entity Type:Organization
Organization Name:HOUSECALLS OF KANSAS, LLC
Other - Org Name:LANSING MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, APRN-BC
Authorized Official - Phone:913-683-3520
Mailing Address - Street 1:712 1ST TER STE 201
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1735
Mailing Address - Country:US
Mailing Address - Phone:913-727-1013
Mailing Address - Fax:913-727-1039
Practice Address - Street 1:712 1ST TER STE 201
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1735
Practice Address - Country:US
Practice Address - Phone:913-727-1013
Practice Address - Fax:913-727-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44671363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty