Provider Demographics
NPI:1215818018
Name:KEMP HOME SERVICE AGENCY LLC
Entity type:Organization
Organization Name:KEMP HOME SERVICE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-260-6262
Mailing Address - Street 1:5461 SOUTHWYCK BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1535
Mailing Address - Country:US
Mailing Address - Phone:419-260-6262
Mailing Address - Fax:567-742-7366
Practice Address - Street 1:5461 SOUTHWYCK BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1535
Practice Address - Country:US
Practice Address - Phone:419-260-6262
Practice Address - Fax:567-742-7366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty