Provider Demographics
NPI:1134691025
Name:KAY'S PRIVATE HOME CARE, LLC
Entity Type:Organization
Organization Name:KAY'S PRIVATE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:INEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-404-6474
Mailing Address - Street 1:7921 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4504
Mailing Address - Country:US
Mailing Address - Phone:954-404-6474
Mailing Address - Fax:954-505-3988
Practice Address - Street 1:7921 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4504
Practice Address - Country:US
Practice Address - Phone:954-404-6474
Practice Address - Fax:954-505-3988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care