Provider Demographics
NPI:1538651708
Name:KAB IN HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:KAB IN HOME HEALTH CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BONDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-299-3709
Mailing Address - Street 1:9867 COUNTRY SCENE LN
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4005
Mailing Address - Country:US
Mailing Address - Phone:216-299-3709
Mailing Address - Fax:216-382-3430
Practice Address - Street 1:9867 COUNTRY SCENE LN
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4005
Practice Address - Country:US
Practice Address - Phone:216-299-3709
Practice Address - Fax:216-382-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2799851Medicaid