Provider Demographics
NPI:1891232104
Name:KAMKADE ENTERPRISES LLC
Entity Type:Organization
Organization Name:KAMKADE ENTERPRISES LLC
Other - Org Name:HARMONY HOME AND RESPITE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEQUARIUS
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:769-251-5006
Mailing Address - Street 1:PO BOX 320234
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-0234
Mailing Address - Country:US
Mailing Address - Phone:769-251-5006
Mailing Address - Fax:
Practice Address - Street 1:4814 LAKELAND DR # A
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8694
Practice Address - Country:US
Practice Address - Phone:769-251-5006
Practice Address - Fax:769-251-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS12115OtherVETERANS ADMINISTRATION