Organization · Type 2 NPI

Custom Care of Ellsworth, Inc

Home Health Agency · Russell, KS

NPI number 1780600221 Active

Practice location

802 N Maple St
Russell, KS 67665-1937

Call (785) 445-3500 Map

Fax (785) 445-3502

Mailing address

2301 Highway 1187, Suite 203
Mansfield, TX 76063-6124

Other practice locations

1015 Elmhurst Blvd, Suite B, Salina, KS 67401-7403 · (785) 826-9600

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	A027002 (KS)

Home Health Agency: 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 organ…

NPI record

NPI: 1780600221
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: May 31, 2018
Status: Active

Other names

<unavail>
Angels Care Home Health · doing business as
Angels Care Home Health · doing business as

Authorized official

Mrs. Angela W Eddins
President
(785) 445-3500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780600221

Custom Care of Ellsworth, Inc's National Provider Identifier is 1780600221, issued on Jul 15, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Russell, KS. The record was last updated on May 31, 2018.