CROSSROADS HOSPICE OF KANSAS LLC NPI 1194025239

NPI Information

NPI: 1194025239
Provider Name: CROSSROADS HOSPICE OF KANSAS LLC

Doing Business As: CROSSROADS HOSPICE OF KANSAS, LLC

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

CLIA Number: 17D2027708

Address:
11150 THOMPSON AVE
LENEXA, KS
ZIP 66219
Phone: (913) 850-7500
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CROSSROADS HOSPICE OF KANSAS LLC is a hospice care community based in Lenexa, KS. CROSSROADS HOSPICE OF KANSAS LLC NPI is 1194025239. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crossroads Hospice Of Kansas, Llc.

The provider's business location address is:

11150 THOMPSON AVE
LENEXA, KS
ZIP 66219-301
Phone: (913) 850-7500
Fax: (913) 850-7598

The provider's authorized official is Clayton Lee Farmer .
The authorized official title is Cfo/coo and has the following contact phone number (918) 627-6846.

The CLIA number assigned to this NPI record is 17D2027708 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 11/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QH0002X	Family Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20070540A	MEDICAID	KANSAS

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

NPI Synchronization or Removal

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