Provider Demographics
NPI:1568835999
Name:KH SENIOR CARE LLC
Entity Type:Organization
Organization Name:KH SENIOR CARE LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:484-879-6575
Mailing Address - Street 1:47 MARCHWOOD RD
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1835
Mailing Address - Country:US
Mailing Address - Phone:484-879-6575
Mailing Address - Fax:
Practice Address - Street 1:47 MARCHWOOD RD
Practice Address - Street 2:SUITE 1-C
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1835
Practice Address - Country:US
Practice Address - Phone:484-879-6575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18293601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care