Provider Demographics
NPI:1447883194
Name:KATHELENES ADULT DAY
Entity type:Organization
Organization Name:KATHELENES ADULT DAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TEBERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:248-313-2275
Mailing Address - Street 1:33228 W 12 MILE RD STE 361
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3309
Mailing Address - Country:US
Mailing Address - Phone:248-313-2275
Mailing Address - Fax:248-313-2274
Practice Address - Street 1:21100 OSMUS ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336
Practice Address - Country:US
Practice Address - Phone:248-313-2275
Practice Address - Fax:248-313-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care