Provider Demographics
NPI:1457171043
Name:KENANPLUS HOME CARE LLC
Entity type:Organization
Organization Name:KENANPLUS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:MUIGAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-233-6190
Mailing Address - Street 1:PO BOX 3335
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-3335
Mailing Address - Country:US
Mailing Address - Phone:774-233-6190
Mailing Address - Fax:
Practice Address - Street 1:121 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2429
Practice Address - Country:US
Practice Address - Phone:774-233-6190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care