Provider Demographics
NPI:1316366784
Name:KBS5 LLC DBA A CARING HOME CARE SERVICES
Entity Type:Organization
Organization Name:KBS5 LLC DBA A CARING HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-378-5331
Mailing Address - Street 1:1850 MEMORIAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4697
Mailing Address - Country:US
Mailing Address - Phone:931-378-5331
Mailing Address - Fax:931-378-5332
Practice Address - Street 1:1850 MEMORIAL DR STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4697
Practice Address - Country:US
Practice Address - Phone:931-378-5331
Practice Address - Fax:931-378-5332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000012710251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health