Provider Demographics
NPI:1932644408
Name:AKA HOME CARE, LLC
Entity Type:Organization
Organization Name:AKA HOME CARE, LLC
Other - Org Name:AMERICA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-724-8768
Mailing Address - Street 1:1 MARKET ST
Mailing Address - Street 2:617
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08102-2308
Mailing Address - Country:US
Mailing Address - Phone:609-724-8768
Mailing Address - Fax:609-482-8050
Practice Address - Street 1:1 MARKET ST
Practice Address - Street 2:617
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-2308
Practice Address - Country:US
Practice Address - Phone:609-724-8768
Practice Address - Fax:609-482-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0250700253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care