| Md Homecare | |
|
7800 Paseo Blvd Kansas City MO 64131-1859 | |
| (816) 523-3055 | |
| (816) 523-3070 |
| Full Name | Md Homecare |
|---|---|
| Speciality | Family Medicine |
| Location | 7800 Paseo Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Joahn J Hall (OWNER) |
| Authorized Official Contact | 8165233055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Homecare 7800 Paseo Blvd Kansas City MO 64131-1859 Ph: (816) 523-3055 | Md Homecare 7800 Paseo Blvd Kansas City MO 64131-1859 Ph: (816) 523-3055 |
| NPI Number | 1790725513 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 6901803030 |
|---|---|
| Medicare Enrollment ID | O20061101000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790725513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R9H66 (Missouri) | Primary |
| Provider Name | Joahn J Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659311454 PECOS PAC ID: 5092712133 Enrollment ID: I20061101000602 |
| Provider Name | Mary E Sosoatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467960161 PECOS PAC ID: 9931443751 Enrollment ID: I20181205002960 |
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