Provider Demographics
NPI:1073765228
Name:KAY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:KAY HEALTH SERVICES, LLC
Other - Org Name:KAY HEALTH SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-694-8886
Mailing Address - Street 1:8895 N MILITARY TRL
Mailing Address - Street 2:SUITE 204-E
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6220
Mailing Address - Country:US
Mailing Address - Phone:561-694-8886
Mailing Address - Fax:561-694-8911
Practice Address - Street 1:8895 N MILITARY TRL
Practice Address - Street 2:SUITE 204-E
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6220
Practice Address - Country:US
Practice Address - Phone:561-694-8886
Practice Address - Fax:561-694-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993342251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
109510Medicare PIN