Provider Demographics
NPI:1750359899
Name:CARESTAF, INC.
Entity type:Organization
Organization Name:CARESTAF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SUPPORT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-498-2888
Mailing Address - Street 1:8001 COLLEGE BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1980
Mailing Address - Country:US
Mailing Address - Phone:913-498-2888
Mailing Address - Fax:913-498-0155
Practice Address - Street 1:8001 COLLEGE BLVD
Practice Address - Street 2:STE 250
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1980
Practice Address - Country:US
Practice Address - Phone:913-498-2888
Practice Address - Fax:913-498-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO417-9251E00000X
KSA046070251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO947658803Medicaid
KS10007080BMedicaid
MO417-9OtherHOME HEALTH AGENCY LIC
KSA046070OtherHOME HEALTH AGENCY LIC