Provider Demographics
NPI:1497111462
Name:KELS IN-HOME SERVICES, LLC
Entity Type:Organization
Organization Name:KELS IN-HOME SERVICES, LLC
Other - Org Name:KELS IN-HOME SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-304-6654
Mailing Address - Street 1:7280 NW 87TH TER STE 210
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-3706
Mailing Address - Country:US
Mailing Address - Phone:816-304-6654
Mailing Address - Fax:816-841-7848
Practice Address - Street 1:7280 NW 87TH TER STE 210
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-3706
Practice Address - Country:US
Practice Address - Phone:816-304-6654
Practice Address - Fax:816-841-7848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010021414253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care