Provider Demographics
NPI:1386443778
Name:KHHAPS INNOVATIVE SOLUTIONS, LLC
Entity type:Organization
Organization Name:KHHAPS INNOVATIVE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIEUDONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-685-8929
Mailing Address - Street 1:720 SW MYAKKA RIVER TERACE
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986
Mailing Address - Country:US
Mailing Address - Phone:786-685-8929
Mailing Address - Fax:
Practice Address - Street 1:2365 WELLINGTON GREEN DR APT 102
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9318
Practice Address - Country:US
Practice Address - Phone:786-685-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KHHAPS INNOVATIVE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-10
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health