| Organization Name: | GOOD SHEPHERD HOSPICE OF MID-AMERICA INC |
| NPI Number: | 1497857551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON KYLE DELESTER (PRESIDENT) |
| Mailing Address: | 7611 State Line Road Suite 200 Kansas City |
| State: | MO US |
| Postal Code: | 64114 |
| Phone Number: | 8168222292 |
| Fax Number: | 8168222298 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |