Provider Demographics
NPI:1114252640
Name:KASPER EMERGENCY SENIOR CARE
Entity Type:Organization
Organization Name:KASPER EMERGENCY SENIOR CARE
Other - Org Name:KASPER EMERGENCY SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-295-2149
Mailing Address - Street 1:PO BOX 21902
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40221-0902
Mailing Address - Country:US
Mailing Address - Phone:502-240-8099
Mailing Address - Fax:
Practice Address - Street 1:606 WINKLER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40208-1554
Practice Address - Country:US
Practice Address - Phone:502-240-8099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health