Provider Demographics
NPI:1902393846
Name:HOUSEKAHLS COMPASSIONATE IN HOME CARE, LLC
Entity Type:Organization
Organization Name:HOUSEKAHLS COMPASSIONATE IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-245-6582
Mailing Address - Street 1:300 CAMINO REAL W
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8294
Mailing Address - Country:US
Mailing Address - Phone:206-245-6582
Mailing Address - Fax:
Practice Address - Street 1:300 CAMINO REAL W
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098
Practice Address - Country:US
Practice Address - Phone:206-245-6582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health