Healthcare Provider Details

I. General information

NPI: 1376777946
Provider Name (Legal Business Name): KEMPER HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 05/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10307 DETROIT AVE
CLEVELAND OH
44102-1604
US

IV. Provider business mailing address

10307 DETROIT AVE
CLEVELAND OH
44102-1604
US

V. Phone/Fax

Practice location:
  • Phone: 216-472-4200
  • Fax: 216-472-4220
Mailing address:
  • Phone: 216-472-4200
  • Fax: 216-472-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MATT MAJHER
Title or Position: DIRECTOR OF BUSINESS DEVELOPMENT
Credential:
Phone: 216-472-4200