Provider Demographics
NPI:1053689851
Name:KENCARE EDUCATION TRAINING CENTER INC
Entity Type:Organization
Organization Name:KENCARE EDUCATION TRAINING CENTER INC
Other - Org Name:KENCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-743-1523
Mailing Address - Street 1:496 GLENWOOD AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-1509
Mailing Address - Country:US
Mailing Address - Phone:330-743-1523
Mailing Address - Fax:
Practice Address - Street 1:496 GLENWOOD AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1509
Practice Address - Country:US
Practice Address - Phone:330-743-1523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health