Provider Demographics
NPI:1508450776
Name:KABBA'S CARE AGENCY
Entity Type:Organization
Organization Name:KABBA'S CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LANSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KABBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-715-4579
Mailing Address - Street 1:7347 BUIST AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-2224
Mailing Address - Country:US
Mailing Address - Phone:215-715-4579
Mailing Address - Fax:267-969-7647
Practice Address - Street 1:7347 BUIST AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2224
Practice Address - Country:US
Practice Address - Phone:215-715-4579
Practice Address - Fax:267-969-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty