Provider Demographics
NPI:1285170183
Name:KAY'S HOME CARE OF CHOICE
Entity type:Organization
Organization Name:KAY'S HOME CARE OF CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-242-9721
Mailing Address - Street 1:2318 ROSEMORE AVE
Mailing Address - Street 2:K-13
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2318 ROSEMORE AVE
Practice Address - Street 2:K-13
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4144
Practice Address - Country:US
Practice Address - Phone:267-242-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6464357251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care