Provider Demographics
NPI:1023735263
Name:WHEAT STATE HOME HEALTH & HOSPICE AGENCY LLC
Entity type:Organization
Organization Name:WHEAT STATE HOME HEALTH & HOSPICE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-554-4452
Mailing Address - Street 1:229 SE WINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66607-2164
Mailing Address - Country:US
Mailing Address - Phone:316-554-4452
Mailing Address - Fax:
Practice Address - Street 1:229 SE WINFIELD AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66607-2164
Practice Address - Country:US
Practice Address - Phone:316-554-4452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health