Provider Demographics
NPI:1992350185
Name:KEVIN & LUZ ENTERPRISES INC
Entity type:Organization
Organization Name:KEVIN & LUZ ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZVIMINDA
Authorized Official - Middle Name:SELGA
Authorized Official - Last Name:KOUTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:916-831-0404
Mailing Address - Street 1:1600 SACRAMENTO INN WAY STE 216
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-3461
Mailing Address - Country:US
Mailing Address - Phone:855-916-7880
Mailing Address - Fax:833-589-5386
Practice Address - Street 1:1600 SACRAMENTO INN WAY STE 216
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-3461
Practice Address - Country:US
Practice Address - Phone:855-916-7880
Practice Address - Fax:833-589-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health