Provider Demographics
NPI:1043089808
Name:KENZ HOMECARE
Entity Type:Organization
Organization Name:KENZ HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-804-1906
Mailing Address - Street 1:17554 NICK DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1670
Mailing Address - Country:US
Mailing Address - Phone:586-804-1906
Mailing Address - Fax:
Practice Address - Street 1:17554 NICK DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1670
Practice Address - Country:US
Practice Address - Phone:586-804-1906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health