Provider Demographics
NPI:1154687358
Name:K.W. SAFEGUARD HOME HEALTH CARE LCC
Entity Type:Organization
Organization Name:K.W. SAFEGUARD HOME HEALTH CARE LCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KERMIT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-389-5156
Mailing Address - Street 1:5907 ROSEMARY CIR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2680
Mailing Address - Country:US
Mailing Address - Phone:281-389-5156
Mailing Address - Fax:281-421-2868
Practice Address - Street 1:5907 ROSEMARY CIR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2680
Practice Address - Country:US
Practice Address - Phone:281-389-5156
Practice Address - Fax:281-421-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization