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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. You can also correspond with Custom Care Of Ellsworth, Inc through the mailing address at 2301 HIGHWAY 1187, MANSFIELD, TX - 76063-6124 (mailing address contact number: 817-469-6739).

Location: 802 N Maple St, Russell, KS, 76063-6124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Russell
State
Kansas
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
Russell
State
Kansas
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
251E00000X
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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