Provider Demographics
NPI:1023115169
Name:EXPRESSCARE MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:EXPRESSCARE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:OKOROH
Authorized Official - Last Name:WMKPAH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:913-789-9573
Mailing Address - Street 1:5019 LEAVENWORTH RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66104-2256
Mailing Address - Country:US
Mailing Address - Phone:913-789-9573
Mailing Address - Fax:913-789-9268
Practice Address - Street 1:5019 LEAVENWORTH RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66104-2256
Practice Address - Country:US
Practice Address - Phone:913-789-9573
Practice Address - Fax:913-789-9268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5-02121332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5364390001Medicare NSC