Provider Demographics
NPI:1194483636
Name:KIRAN HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KIRAN HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-456-9043
Mailing Address - Street 1:10300 SW 72ND ST STE 355
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3030
Mailing Address - Country:US
Mailing Address - Phone:305-456-9043
Mailing Address - Fax:786-513-8414
Practice Address - Street 1:10300 SW 72ND ST STE 355
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3030
Practice Address - Country:US
Practice Address - Phone:305-456-9043
Practice Address - Fax:786-513-8414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health