Provider Demographics
NPI:1588218937
Name:KQ HOME HEALTHCARE, INC
Entity type:Organization
Organization Name:KQ HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:EH
Authorized Official - Middle Name:
Authorized Official - Last Name:WAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-313-5863
Mailing Address - Street 1:930 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2611
Mailing Address - Country:US
Mailing Address - Phone:402-943-7836
Mailing Address - Fax:
Practice Address - Street 1:930 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2611
Practice Address - Country:US
Practice Address - Phone:402-943-7836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care