Provider Demographics
NPI:1891433991
Name:KEZA HOME CARE SERVICES
Entity type:Organization
Organization Name:KEZA HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:HAKIZIMANA
Authorized Official - Last Name:NAMUGISHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-202-9040
Mailing Address - Street 1:1535 SILVER SAGE DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1815
Mailing Address - Country:US
Mailing Address - Phone:605-202-9040
Mailing Address - Fax:
Practice Address - Street 1:1535 SILVER SAGE DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-1815
Practice Address - Country:US
Practice Address - Phone:605-202-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility