Provider Demographics
NPI:1689498578
Name:KALI HOME HELP AND HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KALI HOME HELP AND HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW, MBA
Authorized Official - Phone:734-612-6022
Mailing Address - Street 1:13206 WESTLAKE CIR BLDG 13
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48111-6137
Mailing Address - Country:US
Mailing Address - Phone:248-705-0863
Mailing Address - Fax:
Practice Address - Street 1:13206 WESTLAKE CIR BLDG 13
Practice Address - Street 2:
Practice Address - City:VAN BUREN TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48111-6137
Practice Address - Country:US
Practice Address - Phone:248-705-0863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care