Provider Demographics
NPI:1538807813
Name:KALMD HOME CARE LLC
Entity type:Organization
Organization Name:KALMD HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AYBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:689-241-0569
Mailing Address - Street 1:1200 N CENTRAL AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4440
Mailing Address - Country:US
Mailing Address - Phone:407-201-2005
Mailing Address - Fax:
Practice Address - Street 1:1200 N CENTRAL AVE STE 211
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4440
Practice Address - Country:US
Practice Address - Phone:407-201-2005
Practice Address - Fax:407-201-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health