Provider Demographics
NPI:1669443958
Name:HEALTH MANAGEMENT OF KANSAS, INC.
Entity Type:Organization
Organization Name:HEALTH MANAGEMENT OF KANSAS, INC.
Other - Org Name:ASSISTED LIVING AT WINDSOR PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-251-5190
Mailing Address - Street 1:2904 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:COFFEYVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67337-2562
Mailing Address - Country:US
Mailing Address - Phone:620-251-0214
Mailing Address - Fax:
Practice Address - Street 1:106 TYLER BLVD
Practice Address - Street 2:
Practice Address - City:COFFEYVILLE
Practice Address - State:KS
Practice Address - Zip Code:67337-2425
Practice Address - Country:US
Practice Address - Phone:620-251-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN-063-015251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health