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RESIDENTIAL HOSPICE OF MISSOURI, LLC
NPI 1528913704
Nurse Practitioner in Leawood, KS

Active since March 03, 2026CLIA 23D2002335 · Waiver
13002 STATE LINE RD, LEAWOOD, KS 66209(866) 902-2621(866) 730-1385 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Residential Hospice Of Missouri, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIDENTIAL HOSPICE OF MISSOURI, LLC (NPI 1528913704) is a healthcare organization registered as a nurse practitioner in Leawood, Kansas and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Leeann Lang, Senior Vp Of Administration, as its authorized official.

NPPES Registry Identity

NPI1528913704
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRESIDENTIAL HOSPICE OF MISSOURI, LLC
Location Address13002 STATE LINE RDLeawood, KS 66209-1756
Mailing Address5440 Corporate Dr Ste 400Troy, MI 48098-2645 · (866) 902-5854 · Fax (866) 903-4000
Phone(866) 902-2621
Fax(866) 730-1385
Organization SubpartNo
Authorized OfficialLeeann LangSenior Vp Of Administration · (866) 902-2621
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1528913704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
13002 STATE LINE RD, Leawood, KS 66209
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2002335

Residential Hospice · Troy, MI
Active · expires Jan 12, 2028
CLIA Number23D2002335
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorWendy R. Bongero
Laboratory Phone(866) 902-5854
Laboratory LocationResidential Hospice5440 Corporate Drive Suite 400, Troy, MI 48098
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONTINUA HOME HEALTH, LLC
Home Health
13002 STATE LINE RD
LEAWOOD, KS 66209
Johnson County (913) 905-0255
CONTINUA HOSPICE LLC
Hospice Care, Community Based
13002 STATE LINE RD
LEAWOOD, KS 66209
Johnson County (913) 905-0255
CONTINUA HOME HEALTH, LLC
Home Health
13002 STATE LINE RD
LEAWOOD, KS 66209
Johnson County (913) 905-0255
RESIDENTIAL HOSPICE OF MISSOURI, LLC
Hospice Care, Community Based
13002 STATE LINE RD
LEAWOOD, KS 66209
Johnson County (913) 905-0255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Residential Hospice Of Missouri, LLC's NPI number?

The NPI number for Residential Hospice Of Missouri, LLC is 1528913704. It was assigned to this organization in the NPPES registry on March 3, 2026.

Where is Residential Hospice Of Missouri, LLC located?

Residential Hospice Of Missouri, LLC is located at 13002 State Line Rd, Leawood, KS 66209. The listed phone number is (866) 902-2621.

What is Residential Hospice Of Missouri, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Residential Hospice Of Missouri, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2002335) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Residential Hospice Of Missouri, LLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.