Provider Demographics
NPI:1689669681
Name:D & P HOMECARE, INC.
Entity Type:Organization
Organization Name:D & P HOMECARE, INC.
Other - Org Name:ANGEL ARMS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWNELLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-241-1074
Mailing Address - Street 1:318 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4308
Mailing Address - Country:US
Mailing Address - Phone:620-241-1074
Mailing Address - Fax:620-241-5781
Practice Address - Street 1:318 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4308
Practice Address - Country:US
Practice Address - Phone:620-241-1074
Practice Address - Fax:620-241-5781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA059013251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1499OtherHOME HEALTH AGENCY
KS100334980AMedicaid
KS100334980BMedicaid
KS100334980BMedicaid