Provider Demographics
NPI:1417480666
Name:KAFF HOMECARE, INC.
Entity Type:Organization
Organization Name:KAFF HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KOFOWOROLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-968-3315
Mailing Address - Street 1:4001 W DEVON AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4537
Mailing Address - Country:US
Mailing Address - Phone:773-942-7752
Mailing Address - Fax:773-409-5235
Practice Address - Street 1:4001 W DEVON AVE STE 212
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4537
Practice Address - Country:US
Practice Address - Phone:773-942-7752
Practice Address - Fax:773-409-5235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care