Provider Demographics
NPI:1811192057
Name:KAAH HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:KAAH HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BAYLE
Authorized Official - Middle Name:IDD
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-870-2999
Mailing Address - Street 1:118 E 26TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4359
Mailing Address - Country:US
Mailing Address - Phone:612-870-2999
Mailing Address - Fax:
Practice Address - Street 1:118 E 26TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4359
Practice Address - Country:US
Practice Address - Phone:612-870-2999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health