Provider Demographics
NPI:1508263005
Name:KANGAREW INC
Entity Type:Organization
Organization Name:KANGAREW INC
Other - Org Name:HOME INSTEAD 451
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:REW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-689-4331
Mailing Address - Street 1:509 ELIZABETH CIR
Mailing Address - Street 2:
Mailing Address - City:YUTAN
Mailing Address - State:NE
Mailing Address - Zip Code:68073-5060
Mailing Address - Country:US
Mailing Address - Phone:402-625-2606
Mailing Address - Fax:
Practice Address - Street 1:4833 BRYANT IRVIN CT
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7681
Practice Address - Country:US
Practice Address - Phone:817-427-3241
Practice Address - Fax:817-873-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health