Provider Demographics
NPI:1073709382
Name:KAB IN HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:KAB IN HOME HEALTH CARE SERVICES
Other - Org Name:ALERT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BONDI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:216-299-3709
Mailing Address - Street 1:5010 MAYFIELD RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2695
Mailing Address - Country:US
Mailing Address - Phone:216-382-3430
Mailing Address - Fax:
Practice Address - Street 1:5010 MAYFIELD RD
Practice Address - Street 2:SUITE 303
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2695
Practice Address - Country:US
Practice Address - Phone:216-382-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2880413Medicaid