Provider Demographics
NPI:1083310767
Name:KAYABE HOME HEALTH, INC
Entity Type:Organization
Organization Name:KAYABE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:BAKING
Authorized Official - Last Name:MALLARI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:318-243-9196
Mailing Address - Street 1:3003 SAND DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-6856
Mailing Address - Country:US
Mailing Address - Phone:318-243-9196
Mailing Address - Fax:
Practice Address - Street 1:3003 SAND DR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-6856
Practice Address - Country:US
Practice Address - Phone:318-243-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty