Provider Demographics
NPI:1255748257
Name:HOME HEALTH CRITICAL CARE LLC
Entity type:Organization
Organization Name:HOME HEALTH CRITICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-242-3925
Mailing Address - Street 1:10800 FARLEY ST
Mailing Address - Street 2:SUITE 265
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1414
Mailing Address - Country:US
Mailing Address - Phone:913-242-3925
Mailing Address - Fax:913-553-2909
Practice Address - Street 1:10800 FARLEY ST
Practice Address - Street 2:SUITE 265
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1414
Practice Address - Country:US
Practice Address - Phone:913-242-3925
Practice Address - Fax:913-553-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health