Provider Demographics
NPI:1538651708
Name:KAB IN HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:KAB IN HOME HEALTH CARE SERVICES
Other - Org Name:ALERT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BONDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-299-3709
Mailing Address - Street 1:1611 OAKMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-4005
Mailing Address - Country:US
Mailing Address - Phone:216-299-3709
Mailing Address - Fax:216-382-3430
Practice Address - Street 1:5010 MAYFIELD RD STE 303
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2697
Practice Address - Country:US
Practice Address - Phone:216-381-5598
Practice Address - Fax:216-382-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2799851Medicaid