Provider Demographics
NPI:1689336877
Name:KANDELL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:KANDELL HOME HEALTH CARE LLC
Other - Org Name:KANDELL ESSENTIAL CARE & COMMUNITY TRIAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:KANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-834-9260
Mailing Address - Street 1:1771 E FLAMINGO RD STE 215B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5154
Mailing Address - Country:US
Mailing Address - Phone:702-834-9260
Mailing Address - Fax:702-337-2027
Practice Address - Street 1:1771 E FLAMINGO RD STE 215B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5154
Practice Address - Country:US
Practice Address - Phone:702-834-9260
Practice Address - Fax:702-337-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No333300000XSuppliersEmergency Response System Companies