Provider Demographics
NPI:1366031536
Name:KASEFA CARE LLC
Entity Type:Organization
Organization Name:KASEFA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHENISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-417-8742
Mailing Address - Street 1:18 ERIC TRL
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-4109
Mailing Address - Country:US
Mailing Address - Phone:973-751-7100
Mailing Address - Fax:973-571-7172
Practice Address - Street 1:276 RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2764
Practice Address - Country:US
Practice Address - Phone:973-417-8742
Practice Address - Fax:973-751-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health