Provider Demographics
NPI:1053728931
Name:KIMANI HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:KIMANI HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-966-7022
Mailing Address - Street 1:348 NETTLES ST
Mailing Address - Street 2:
Mailing Address - City:CASTLEBERRY
Mailing Address - State:AL
Mailing Address - Zip Code:36432-3004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:348 NETTLES ST
Practice Address - Street 2:
Practice Address - City:CASTLEBERRY
Practice Address - State:AL
Practice Address - Zip Code:36432-3004
Practice Address - Country:US
Practice Address - Phone:251-966-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-12
Last Update Date:2014-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care