Provider Demographics
NPI:1508010448
Name:KAIL ENTERPRISES, LLC
Entity Type:Organization
Organization Name:KAIL ENTERPRISES, LLC
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-795-7797
Mailing Address - Street 1:4201 NE LAKEWOOD WAY
Mailing Address - Street 2:#112
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1702
Mailing Address - Country:US
Mailing Address - Phone:816-795-7797
Mailing Address - Fax:816-795-7796
Practice Address - Street 1:4201 NE LAKEWOOD WAY
Practice Address - Street 2:#112
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1702
Practice Address - Country:US
Practice Address - Phone:816-795-7797
Practice Address - Fax:816-795-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2009-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20258224253Z00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty