Provider Demographics
NPI:1508303553
Name:KASPER HEALTHCARE ENTERPRISES, INC
Entity Type:Organization
Organization Name:KASPER HEALTHCARE ENTERPRISES, INC
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:708-712-2430
Mailing Address - Street 1:13929 ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-9565
Mailing Address - Country:US
Mailing Address - Phone:708-712-2430
Mailing Address - Fax:
Practice Address - Street 1:11535 183RD PL
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-4905
Practice Address - Country:US
Practice Address - Phone:708-712-2430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment