Provider Demographics
NPI:1477019248
Name:KC HOME CARE, LLC
Entity Type:Organization
Organization Name:KC HOME CARE, LLC
Other - Org Name:BRIGHTSTAR CARE OF FRIENDSWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-606-4335
Mailing Address - Street 1:1560 W BAY AREA BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2674
Mailing Address - Country:US
Mailing Address - Phone:281-606-4335
Mailing Address - Fax:281-606-4337
Practice Address - Street 1:1560 W BAY AREA BLVD STE 315
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2674
Practice Address - Country:US
Practice Address - Phone:281-606-4335
Practice Address - Fax:281-606-4337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health