Provider Demographics
NPI:1801218383
Name:KAHLER-MARR IN-ROOM HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:KAHLER-MARR IN-ROOM HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:BEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-280-6200
Mailing Address - Street 1:20 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3027
Mailing Address - Country:US
Mailing Address - Phone:507-280-6200
Mailing Address - Fax:
Practice Address - Street 1:20 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3027
Practice Address - Country:US
Practice Address - Phone:507-280-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health