Provider Demographics
NPI:1871967604
Name:KAH CARE, LLC
Entity type:Organization
Organization Name:KAH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-237-2333
Mailing Address - Street 1:4905 PINE CONE DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-237-2333
Mailing Address - Fax:919-237-2152
Practice Address - Street 1:4905 PINE CONE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5474
Practice Address - Country:US
Practice Address - Phone:919-237-2333
Practice Address - Fax:919-237-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3840253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care