Provider Demographics
NPI:1497920169
Name:KYLE'S HOME CARE SERVICES
Entity Type:Organization
Organization Name:KYLE'S HOME CARE SERVICES
Other - Org Name:KYLE'S CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-347-8600
Mailing Address - Street 1:1441 VALLE VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-6271
Mailing Address - Country:US
Mailing Address - Phone:309-347-8600
Mailing Address - Fax:309-347-8632
Practice Address - Street 1:1441 VALLE VISTA BLVD APT E
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-6286
Practice Address - Country:US
Practice Address - Phone:309-347-8600
Practice Address - Fax:309-347-8632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health