Healthcare Provider Details

I. General information

NPI: 1497559876
Provider Name (Legal Business Name): KCL HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PALM BEACH LAKES BLVD STE 502O
WEST PALM BEACH FL
33409-6518
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:
Mailing address:
  • Phone: 561-822-3956
  • Fax:

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
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN STEPHAN CAMEAU
Title or Position: CFO
Credential: MBA, NHA
Phone: 561-532-8831