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PROMISES KEPT LLC NPI 1518273408


NPI Information

NPI: 1518273408
Provider Name: PROMISES KEPT, LLC

Doing Business As: PHOENIX HOME CARE & HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 17D2087399

Address:
3450 N ROCK RD STE 213
WICHITA, KS
ZIP 67226
Phone: (316) 688-5511
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PROMISES KEPT, LLC is a hospice care community based in Wichita, KS. PROMISES KEPT, LLC NPI is 1518273408. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Home Care & Hospice.

The provider's business location address is:

3450 N ROCK RD STE 213
WICHITA, KS
ZIP 67226-352
Phone: (316) 688-5511
Fax: (316) 440-4279

The provider's authorized official is George Scott Herman .
The authorized official title is President & Secretary and has the following contact phone number (316) 688-5511.

The CLIA number assigned to this NPI record is 17D2087399 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2010 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200974820AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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