Provider Demographics
NPI:1730859281
Name:KCL HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:KCL HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:STEPHAN
Authorized Official - Last Name:CAMEAU
Authorized Official - Suffix:
Authorized Official - Credentials:NHA, MBA
Authorized Official - Phone:854-825-1153
Mailing Address - Street 1:2328 10TH AVE N STE 501D
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6615
Mailing Address - Country:US
Mailing Address - Phone:561-822-3956
Mailing Address - Fax:561-508-3778
Practice Address - Street 1:2328 10TH AVE N STE 501D
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6615
Practice Address - Country:US
Practice Address - Phone:561-822-3956
Practice Address - Fax:561-508-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care