Provider Demographics
NPI:1386035970
Name:KH HOME HEALTH CARE
Entity Type:Organization
Organization Name:KH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-306-0847
Mailing Address - Street 1:259 SAMBURU ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1063
Mailing Address - Country:US
Mailing Address - Phone:586-306-0847
Mailing Address - Fax:
Practice Address - Street 1:259 SAMBURU ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1063
Practice Address - Country:US
Practice Address - Phone:586-306-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health