Provider Demographics
NPI:1760716245
Name:KALAMAZOO HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:KALAMAZOO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KURTIS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SMITKO
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:269-532-1801
Mailing Address - Street 1:834 KING HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-2579
Mailing Address - Country:US
Mailing Address - Phone:269-532-1801
Mailing Address - Fax:269-532-1808
Practice Address - Street 1:834 KING HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2579
Practice Address - Country:US
Practice Address - Phone:269-532-1801
Practice Address - Fax:269-532-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health