Provider Demographics
NPI:1346487147
Name:KGS SERVICES LLC
Entity Type:Organization
Organization Name:KGS SERVICES LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GALE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWIETERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-477-7000
Mailing Address - Street 1:128 MCCUTCHEON DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-3430
Mailing Address - Country:US
Mailing Address - Phone:765-477-7000
Mailing Address - Fax:765-477-7004
Practice Address - Street 1:128 MCCUTCHEON DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-3430
Practice Address - Country:US
Practice Address - Phone:765-477-7000
Practice Address - Fax:765-477-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08-011714-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200903370Medicaid