Provider Demographics
NPI:1679818561
Name:HOME HEALTHCARE SERVICES OF WESTERN KANSAS, LLC.
Entity Type:Organization
Organization Name:HOME HEALTHCARE SERVICES OF WESTERN KANSAS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MENDI
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-623-3548
Mailing Address - Street 1:3010 LIMESTONE CT
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9364
Mailing Address - Country:US
Mailing Address - Phone:785-623-3548
Mailing Address - Fax:
Practice Address - Street 1:3010 LIMESTONE CT
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-9364
Practice Address - Country:US
Practice Address - Phone:785-623-3548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-026-011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health