Provider Demographics
NPI:1851922157
Name:KARES LLC D/B/A BLUE MOUNTAIN HOME HEALTH CARE LEH
Entity Type:Organization
Organization Name:KARES LLC D/B/A BLUE MOUNTAIN HOME HEALTH CARE LEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KALEEMULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-221-8148
Mailing Address - Street 1:2200 HAMILTON ST STE 309
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6359
Mailing Address - Country:US
Mailing Address - Phone:484-221-8148
Mailing Address - Fax:
Practice Address - Street 1:2200 HAMILTON ST STE 309
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6359
Practice Address - Country:US
Practice Address - Phone:484-221-8148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health