Provider Demographics
NPI:1003663931
Name:KIBBY HOME CARE
Entity type:Organization
Organization Name:KIBBY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEVLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-6085
Mailing Address - Street 1:1890 E MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2262
Mailing Address - Country:US
Mailing Address - Phone:614-432-6085
Mailing Address - Fax:
Practice Address - Street 1:1890 E MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2262
Practice Address - Country:US
Practice Address - Phone:614-432-6085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty