Provider Demographics
NPI:1609915164
Name:CARE ALTERNATIVES OF MISSOURI, LLC
Entity Type:Organization
Organization Name:CARE ALTERNATIVES OF MISSOURI, LLC
Other - Org Name:ASCEND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFODILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:65 JACKSON DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3516
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:908-931-9698
Practice Address - Street 1:4550 W 109TH ST STE 210
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1351
Practice Address - Country:US
Practice Address - Phone:913-287-5678
Practice Address - Fax:913-287-5217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSNONE ISSUED IN KS251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200303610AMedicaid
KS171566Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER