Provider Demographics
NPI:1720214588
Name:KEMERE HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:KEMERE HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:E
Authorized Official - Last Name:OBASUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-987-2957
Mailing Address - Street 1:1213 BUCKEYE DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1261
Mailing Address - Country:US
Mailing Address - Phone:612-987-2957
Mailing Address - Fax:972-681-2289
Practice Address - Street 1:1213 BUCKEYE DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1261
Practice Address - Country:US
Practice Address - Phone:612-987-2957
Practice Address - Fax:972-681-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health