Provider Demographics
NPI:1538756739
Name:KERB HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:KERB HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:TARLINE
Authorized Official - Last Name:CAYAU
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM
Authorized Official - Phone:203-644-2507
Mailing Address - Street 1:1266 E MAIN ST STE 706
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3546
Mailing Address - Country:US
Mailing Address - Phone:203-514-4188
Mailing Address - Fax:
Practice Address - Street 1:1266 E MAIN ST STE 706
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3546
Practice Address - Country:US
Practice Address - Phone:203-514-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care