Provider Demographics
NPI:1083866859
Name:KALEB, INC.
Entity Type:Organization
Organization Name:KALEB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEINTRAUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-337-6124
Mailing Address - Street 1:869 MENDAKOTA CT
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1336
Mailing Address - Country:US
Mailing Address - Phone:651-905-9908
Mailing Address - Fax:
Practice Address - Street 1:869 MENDAKOTA CT
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1336
Practice Address - Country:US
Practice Address - Phone:651-905-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN339768253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care