Provider Demographics
NPI:1609307610
Name:KEEP SAKE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:KEEP SAKE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-598-8140
Mailing Address - Street 1:6011 DURAND AVE
Mailing Address - Street 2:#300
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-5060
Mailing Address - Country:US
Mailing Address - Phone:262-598-8140
Mailing Address - Fax:
Practice Address - Street 1:6011 DURAND AVE
Practice Address - Street 2:#300
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-5060
Practice Address - Country:US
Practice Address - Phone:262-598-8140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health