Provider Demographics
NPI:1144425091
Name:KENO SENIOR SERVICES INC
Entity Type:Organization
Organization Name:KENO SENIOR SERVICES INC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER- PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-432-6475
Mailing Address - Street 1:5335 FAR HILLS AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2350
Mailing Address - Country:US
Mailing Address - Phone:937-432-6475
Mailing Address - Fax:937-432-6916
Practice Address - Street 1:5335 FAR HILLS AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2350
Practice Address - Country:US
Practice Address - Phone:937-432-6475
Practice Address - Fax:937-432-6916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-186865251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30730606Medicaid