Provider Demographics
NPI:1902476971
Name:KACEN'S KARE
Entity Type:Organization
Organization Name:KACEN'S KARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:RODERICK
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:985-359-4512
Mailing Address - Street 1:1126 W AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3717
Mailing Address - Country:US
Mailing Address - Phone:985-359-5273
Mailing Address - Fax:985-359-4515
Practice Address - Street 1:1126 W AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3717
Practice Address - Country:US
Practice Address - Phone:985-359-5273
Practice Address - Fax:985-359-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty