Provider Demographics
NPI:1134680457
Name:KALAMAZOO HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:KALAMAZOO HOME CARE SERVICES, LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF KALAMAZOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-649-2417
Mailing Address - Street 1:5985 W MAIN ST # 820
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-8708
Mailing Address - Country:US
Mailing Address - Phone:269-649-2417
Mailing Address - Fax:616-239-3001
Practice Address - Street 1:5985 W MAIN ST # 820
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-8708
Practice Address - Country:US
Practice Address - Phone:269-649-2417
Practice Address - Fax:616-239-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care