Provider Demographics
NPI:1881001451
Name:KLUMPS HOMECARE LLC
Entity Type:Organization
Organization Name:KLUMPS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLUMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-877-6409
Mailing Address - Street 1:1093 144TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49348-9722
Mailing Address - Country:US
Mailing Address - Phone:616-808-6004
Mailing Address - Fax:616-877-0170
Practice Address - Street 1:1093 144TH AVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MI
Practice Address - Zip Code:49348-9722
Practice Address - Country:US
Practice Address - Phone:616-808-6004
Practice Address - Fax:616-877-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health