Provider Demographics
NPI:1366839359
Name:KERNS ENTERPRISES, LLC
Entity Type:Organization
Organization Name:KERNS ENTERPRISES, LLC
Other - Org Name:PREFERRED CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KERNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-531-8696
Mailing Address - Street 1:1400 MCCALLIE AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2927
Mailing Address - Country:US
Mailing Address - Phone:423-531-8696
Mailing Address - Fax:423-475-5961
Practice Address - Street 1:1400 MCCALLIE AVE
Practice Address - Street 2:STE 220
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2927
Practice Address - Country:US
Practice Address - Phone:423-531-8696
Practice Address - Fax:423-475-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000015316253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care