Provider Demographics
NPI:1720593973
Name:KANSAS COMMUNITY HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:KANSAS COMMUNITY HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEM
Authorized Official - Middle Name:
Authorized Official - Last Name:GHATANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-247-7456
Mailing Address - Street 1:1854 MINNESOTA AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-4166
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1854 MINNESOTA AVE STE 4
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-4166
Practice Address - Country:US
Practice Address - Phone:913-499-8374
Practice Address - Fax:913-499-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health