Provider Demographics
NPI:1356680250
Name:KAJAS SPECIAL TOUCH, LLC
Entity Type:Organization
Organization Name:KAJAS SPECIAL TOUCH, LLC
Other - Org Name:A TOUCH OF SERENITY PROFESSIONAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANPHLEET
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-504-9189
Mailing Address - Street 1:4008 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60104-2005
Mailing Address - Country:US
Mailing Address - Phone:708-504-9189
Mailing Address - Fax:
Practice Address - Street 1:4008 ADAMS ST
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:IL
Practice Address - Zip Code:60104-2005
Practice Address - Country:US
Practice Address - Phone:708-504-9189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-316008253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care