1kems Home Care LLC
In Home Supportive Care in Grand Prairie, TX. Organization (NPI-2).
NPI number1962080416
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1962080416
- Entity type
- Organization (NPI-2)
- Legal business name
- 1kems Home Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
5867 Candlelight LnGrand Prairie, TX 75052-8592
Phone 469-987-9265
Mailing address
5867 Candlelight LnGrand Prairie, TX 75052-8592
Phone 469-987-9265
Authorized official
Nyah Keochinda
Owner/President
4699879265
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