Provider Demographics
NPI:1558564575
Name:SUNFLOWER HEALTHCARE, INC
Entity Type:Organization
Organization Name:SUNFLOWER HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-708-5391
Mailing Address - Street 1:7520 W. 160TH ST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085
Mailing Address - Country:US
Mailing Address - Phone:913-680-0800
Mailing Address - Fax:913-680-0804
Practice Address - Street 1:15417 PINEHURST DR.
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66012
Practice Address - Country:US
Practice Address - Phone:913-680-0800
Practice Address - Fax:913-680-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1726OtherBCBS
KS200544370AMedicaid
KS171570Medicare Oscar/Certification