Provider Demographics
NPI:1477791549
Name:K & S HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:K & S HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BATES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:901-581-0447
Mailing Address - Street 1:2600 POPLAR AVE
Mailing Address - Street 2:STE. 416
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3851
Mailing Address - Country:US
Mailing Address - Phone:901-581-0447
Mailing Address - Fax:
Practice Address - Street 1:2600 POPLAR AVE
Practice Address - Street 2:STE. 416
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3851
Practice Address - Country:US
Practice Address - Phone:901-581-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care