GOOD SHEPHERD HOSPICE OF MID-AMERICA INC NPI 1497857551

NPI Information

GOOD SHEPHERD HOSPICE OF MID-AMERICA INC is a hospice care community based in Independence, MO. GOOD SHEPHERD HOSPICE OF MID-AMERICA INC NPI is 1497857551. The provider is registered as an organization entity type.

The provider's business location address is:

123 W KANSAS AVE STE 200
INDEPENDENCE, MO
ZIP 64050-713
Phone: (816) 822-2292
Fax: (816) 822-2298

The provider's authorized official is Jason Kyle Delester .
The authorized official title is President and has the following contact phone number (405) 943-0903.

The CLIA number assigned to this NPI record is 37D2249654 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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