Provider Demographics
NPI:1407559917
Name:KASERA HOMECARE SERVICES
Entity type:Organization
Organization Name:KASERA HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEBIYOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-232-0663
Mailing Address - Street 1:4893 186TH ST W
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-7086
Mailing Address - Country:US
Mailing Address - Phone:612-232-0663
Mailing Address - Fax:651-344-8408
Practice Address - Street 1:4893 186TH ST W
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-7086
Practice Address - Country:US
Practice Address - Phone:612-232-0663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care