Provider Demographics
NPI:1811071509
Name:KBS HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:KBS HOME HEALTH AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KBS HOME HEALTH
Authorized Official - Middle Name:AGENCY
Authorized Official - Last Name:INC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-404-7317
Mailing Address - Street 1:7214 HIGHWAY 78 STE 18
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2532
Mailing Address - Country:US
Mailing Address - Phone:214-227-5800
Mailing Address - Fax:214-227-5844
Practice Address - Street 1:7214 HIGHWAY 78 STE 18
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2532
Practice Address - Country:US
Practice Address - Phone:214-227-5800
Practice Address - Fax:214-227-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010221OtherDAD
TX679535Medicare Oscar/Certification