Provider Demographics
NPI:1689397820
Name:HOME PLUS OF KANSAS
Entity Type:Organization
Organization Name:HOME PLUS OF KANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NDUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-518-9982
Mailing Address - Street 1:254 S ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-1429
Mailing Address - Country:US
Mailing Address - Phone:316-773-2277
Mailing Address - Fax:316-773-7077
Practice Address - Street 1:254 S ROBIN RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-1429
Practice Address - Country:US
Practice Address - Phone:316-773-2277
Practice Address - Fax:316-773-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility