Provider Demographics
NPI:1952683419
Name:KREBER HOMECARE, LLC
Entity Type:Organization
Organization Name:KREBER HOMECARE, LLC
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KREBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-242-6056
Mailing Address - Street 1:319 DAKOTA DUNES BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5349
Mailing Address - Country:US
Mailing Address - Phone:605-242-6056
Mailing Address - Fax:
Practice Address - Street 1:319 DAKOTA DUNES BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5349
Practice Address - Country:US
Practice Address - Phone:605-242-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care