MEDICARE: KARA MININES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225851348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARA MININES

Provider Business Mailing Address
First Line	:	714 WALBRIDGE ST APT 203
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-3517
Country	:	US
Telephone Number	:	813-394-8275
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 WALBRIDGE ST APT 203
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-3517
Country	:	US
Telephone Number	:	813-394-8275
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYCIA MININES
Credential	:
Telephone Number	:	813-394-8275

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	06/10/2026

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Directions to “KARA MININES ” Practice Location

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