Healthcare Provider Details
I. General information
NPI: 1235552712
Provider Name (Legal Business Name): KAYLAND PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2014
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12927 STONECREEK DR STE E
PICKERINGTON OH
43147-7001
US
IV. Provider business mailing address
12927 STONECREEK DR STE E
PICKERINGTON OH
43147-7001
US
V. Phone/Fax
- Phone: 614-604-8622
- Fax: 614-604-8624
- Phone: 614-604-8622
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KWABENA
AYISI
Title or Position: OFFICER
Credential:
Phone: 917-628-5332