Provider Demographics
NPI:1609464916
Name:KRAFT HOMES LLC
Entity Type:Organization
Organization Name:KRAFT HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHIENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-218-9366
Mailing Address - Street 1:1539 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-5277
Mailing Address - Country:US
Mailing Address - Phone:507-218-9366
Mailing Address - Fax:507-302-3003
Practice Address - Street 1:1539 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-5277
Practice Address - Country:US
Practice Address - Phone:507-218-9366
Practice Address - Fax:507-302-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care