Provider Demographics
NPI:1518179449
Name:KENDALL HOME CARE, INC
Entity Type:Organization
Organization Name:KENDALL HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-775-8371
Mailing Address - Street 1:24 STAR DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9583
Mailing Address - Country:US
Mailing Address - Phone:740-775-8371
Mailing Address - Fax:740-773-0911
Practice Address - Street 1:24 STAR DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9583
Practice Address - Country:US
Practice Address - Phone:740-775-8371
Practice Address - Fax:740-773-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health