Healthcare Provider Details

I. General information

NPI: 1942361910
Provider Name (Legal Business Name): KADAT PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 BENNER PIKE SUITE A
STATE COLLEGE PA
16801-7395
US

IV. Provider business mailing address

915 BENNER PIKE SUITE A
STATE COLLEGE PA
16801
US

V. Phone/Fax

Practice location:
  • Phone: 814-861-1600
  • Fax: 814-861-0600
Mailing address:
  • Phone: 814-861-1600
  • Fax: 814-861-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100906006
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. W DAVID HELLYER
Title or Position: OWNER
Credential:
Phone: 814-861-1600