Provider Demographics
NPI:1689981441
Name:CLAYVIEW HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CLAYVIEW HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UGONMA
Authorized Official - Middle Name:NKECHI
Authorized Official - Last Name:EGORUGWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MA
Authorized Official - Phone:816-729-4478
Mailing Address - Street 1:4240 BLUE RIDGE BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-1711
Mailing Address - Country:US
Mailing Address - Phone:816-872-9485
Mailing Address - Fax:816-841-4989
Practice Address - Street 1:4240 BLUE RIDGE BLVD STE 350
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-1711
Practice Address - Country:US
Practice Address - Phone:816-872-9485
Practice Address - Fax:816-841-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO123140251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO267624Medicare Oscar/Certification