Healthcare Provider Details

I. General information

NPI: 1730859281
Provider Name (Legal Business Name): KCL HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 10TH AVE N STE 501D
LAKE WORTH FL
33461-6615
US

IV. Provider business mailing address

2001 PALM BEACH LAKES BLVD STE 502O
WEST PALM BEACH FL
33409-6518
US

V. Phone/Fax

Practice location:
  • Phone: 561-822-3956
  • Fax: 561-508-3778
Mailing address:
  • Phone: 561-822-3956
  • Fax: 561-508-3778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN STEPHAN CAMEAU
Title or Position: CO-OWNER/FINANCIAL OFFICER
Credential: NHA, MBA
Phone: 854-825-1153