Healthcare Provider Details

I. General information

NPI: 1144048588
Provider Name (Legal Business Name): KEHO HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

IV. Provider business mailing address

9300 CONROY WINDERMERE RD UNIT 1165
WINDERMERE FL
34786-5047
US

V. Phone/Fax

Practice location:
  • Phone: 888-392-0555
  • Fax:
Mailing address:
  • Phone: 954-812-5867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS HOPE J PACE
Title or Position: PRESIDENT
Credential:
Phone: 317-954-2993