Provider Demographics
NPI:1073656450
Name:KIKI'S KARE, LLC
Entity Type:Organization
Organization Name:KIKI'S KARE, LLC
Other - Org Name:COMFORT KEEPERS 690
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COUCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-573-2353
Mailing Address - Street 1:324 E SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1545
Mailing Address - Country:US
Mailing Address - Phone:864-573-2353
Mailing Address - Fax:864-573-2352
Practice Address - Street 1:324 E SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1545
Practice Address - Country:US
Practice Address - Phone:864-573-2353
Practice Address - Fax:864-573-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health