Provider Demographics
NPI:1558135442
Name:KKA VENTURES LLC
Entity Type:Organization
Organization Name:KKA VENTURES LLC
Other - Org Name:HOMEWATCH CAREGIVERS OF SOUTH ORANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-255-8600
Mailing Address - Street 1:76 S ORANGE AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1923
Mailing Address - Country:US
Mailing Address - Phone:973-810-0110
Mailing Address - Fax:
Practice Address - Street 1:76 S ORANGE AVE STE 305
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1923
Practice Address - Country:US
Practice Address - Phone:973-810-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty