Provider Demographics
NPI:1619034550
Name:CATHOLIC CHARITIES OF KANSAS CITY ST JOSEPH INC
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF KANSAS CITY ST JOSEPH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-221-2178
Mailing Address - Street 1:1112 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1518
Mailing Address - Country:US
Mailing Address - Phone:816-221-4377
Mailing Address - Fax:816-221-0065
Practice Address - Street 1:1112 BROADWAY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1518
Practice Address - Country:US
Practice Address - Phone:816-221-4377
Practice Address - Fax:816-221-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty