Provider Demographics
NPI:1336524578
Name:KAY HOME CARE, LLC
Entity type:Organization
Organization Name:KAY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-694-8886
Mailing Address - Street 1:5108 N OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEAN RIDGE
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7031
Mailing Address - Country:US
Mailing Address - Phone:561-694-8886
Mailing Address - Fax:561-694-8911
Practice Address - Street 1:5108 N OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN RIDGE
Practice Address - State:FL
Practice Address - Zip Code:33435-7031
Practice Address - Country:US
Practice Address - Phone:561-694-8886
Practice Address - Fax:561-694-8911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAY HOLDING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care