Healthcare Provider Details
I. General information
NPI: 1710550330
Provider Name (Legal Business Name): KHANEL HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2021
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3606 ENTERPRISE AVE STE 254
NAPLES FL
34104-3670
US
IV. Provider business mailing address
3606 ENTERPRISE AVE STE 254
NAPLES FL
34104-3670
US
V. Phone/Fax
- Phone: 561-537-1404
- Fax: 954-337-3939
- Phone: 561-537-1504
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANEL
PIERRE
Title or Position: OWNER
Credential:
Phone: 561-537-1504