Provider Demographics
NPI:1710550330
Name:KHANEL HEALTHCARE INC.
Entity Type:Organization
Organization Name:KHANEL HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-537-1504
Mailing Address - Street 1:3606 ENTERPRISE AVE STE 254
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3670
Mailing Address - Country:US
Mailing Address - Phone:561-537-1504
Mailing Address - Fax:
Practice Address - Street 1:3606 ENTERPRISE AVE STE 254
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3670
Practice Address - Country:US
Practice Address - Phone:561-537-1404
Practice Address - Fax:954-337-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL117971400Medicaid