Organization Name: | KANSAS CITY HOME MEDICAL SUPPLY, LLC. |
NPI Number: | 1730509894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD LEWIS (OWNER) |
Mailing Address: | 10400 Metcalf Ave Overland Park |
State: | KS US |
Postal Code: | 662121806 |
Phone Number: | 9133852020 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 16-44347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |