Provider Demographics
NPI:1366638314
Name:KCT HOMECARE LLC
Entity Type:Organization
Organization Name:KCT HOMECARE LLC
Other - Org Name:SYNERGY HOMECARE AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-320-9199
Mailing Address - Street 1:701 BRAZOS ST
Mailing Address - Street 2:SUITE 500 MB 51
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3258
Mailing Address - Country:US
Mailing Address - Phone:512-320-9199
Mailing Address - Fax:
Practice Address - Street 1:701 BRAZOS ST
Practice Address - Street 2:SUITE 500 MB 51
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3258
Practice Address - Country:US
Practice Address - Phone:512-320-9199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-23
Last Update Date:2007-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health