MY SACRED HOME HOSPICE (MY SACRED HOME, LLC) NPI 1144455312

Hospice Care, Community Based in Wichita, KS

NPI 1144455312 Organization Hospice Care, Community Based

About MY SACRED HOME HOSPICE (MY SACRED HOME, LLC)

My Sacred Home Hospice (my Sacred Home, Llc) is a provider established in Wichita, Kansas specializing in hospice care, community based. The NPI number of My Sacred Home Hospice (my Sacred Home, Llc) is 1144455312 and was assigned on May 2009. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as My Sacred Home Hospice. The authorized official of this NPI record is Jessica L Manzano (Billing And Coding Manager)

NPI

1144455312

Provider NameMY SACRED HOME HOSPICE (MY SACRED HOME, LLC)
Provider Location Address7829 E ROCKHILL ST STE 406 WICHITA, KS 67206
Provider Mailing Address7829 E ROCKHILL ST STE 406 WICHITA, KS 67206
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMY SACRED HOME HOSPICE
Other Name TypeDoing Business As (3)
Enumeration Date05-18-2009
Last Update Date05-18-2009


Primary Taxonomy

Taxonomy Code251G00000X
ClassificationHospice Care, Community Based
TypeAgencies

Business Address

MY SACRED HOME HOSPICE
7829 E ROCKHILL ST STE 406
WICHITA, KS
ZIP 67206
Phone: (316) 440-4820
Fax: (316) 440-4851

Get Directions


Mailing Address

MY SACRED HOME HOSPICE
7829 E ROCKHILL ST STE 406
WICHITA, KS
ZIP 67206
Phone: (316) 440-4820
Fax: (316) 440-4851



Authorized Official

Authorized Official Name JESSICA L MANZANO
Authorized Official TitleBILLING AND CODING MANAGER
Authorized Official Phone(316) 440-4820

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477707065MY SACRED HOME, LLC
Organization
Home Health7829 E ROCKHILL ST STE 406
WICHITA, KS 67206
(316) 440-4820
1013155522MSH II
Organization
Specialist7829 E ROCKHILL ST STE 406
WICHITA, KS 67206
(316) 440-4820
1396979456MY SACRED HOME II, LLC
Organization
Sleep Specialist, PhD7829 E ROCKHILL ST STE 406
WICHITA, KS 67206
(316) 440-4820
1144457557MY SACRED HOME II, LLC
Organization
Specialist7829 E ROCKHILL ST STE 406
WICHITA, KS 67206
(316) 440-4820

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.