Provider Demographics
NPI:1760298228
Name:CARDINAL HOSPICE OF KANSAS LLC
Entity type:Organization
Organization Name:CARDINAL HOSPICE OF KANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-833-6053
Mailing Address - Street 1:10300 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3135
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10300 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-3135
Practice Address - Country:US
Practice Address - Phone:316-500-7846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient