institution
Custom Care Of Ellsworth, Inc
Home Health Agency in Russell, Kansas
NPI 1780600221

Custom Care Of Ellsworth, Inc is a Home Health Agency based in Mansfield, KS. Custom Care Of Ellsworth, Inc practices in Russell, KS. The NPI Number for Custom Care Of Ellsworth, Inc is 1780600221 and holds a License No. A027002 (Kansas).

The current practice location address for Custom Care Of Ellsworth, Inc is 802 N Maple St, Russell, KS and can be reached out via phone at 785-445-3500 and via fax at 785-445-3502.

Location: 802 N Maple St, Russell, KS, 76063-6124
institution
Provider Profile Details
NPI Number
1780600221
Provider Name
Custom Care Of Ellsworth, Inc
Credential
Provider Entity Type
Organization
Address
802 N Maple St, Russell, KS, 76063-6124
Phone Number
785-445-3500
Fax Number
785-445-3502
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
802 N Maple St
City
State
Zip
67665-1937
Phone Number
785-445-3500
Fax Number
785-445-3502
person
Provider Business Mailing Address Details
Address
802 N Maple St
City
State
Zip
67665-1937
Phone Number
785-445-3500
Fax Number
785-445-3502
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
A027002 (Kansas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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