Provider Demographics
NPI:1700407996
Name:FAITH HOSPICE & PALLIATIVE CARE
Entity Type:Organization
Organization Name:FAITH HOSPICE & PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-296-7636
Mailing Address - Street 1:1300 N 78TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2406
Mailing Address - Country:US
Mailing Address - Phone:913-296-7636
Mailing Address - Fax:913-296-7638
Practice Address - Street 1:1320 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66612-1817
Practice Address - Country:US
Practice Address - Phone:913-296-7636
Practice Address - Fax:913-296-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based