Provider Demographics
NPI:1518053040
Name:KAMCARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:KAMCARE HOME HEALTH SERVICES LLC
Other - Org Name:RELIANT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-856-6888
Mailing Address - Street 1:136 OLD MILL CTR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-6339
Mailing Address - Country:US
Mailing Address - Phone:866-344-2821
Mailing Address - Fax:866-288-4125
Practice Address - Street 1:136 OLD MILL CTR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-6339
Practice Address - Country:US
Practice Address - Phone:866-344-2821
Practice Address - Fax:866-288-4125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011503251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195246701Medicaid
TX679719Medicare Oscar/Certification