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NPI 1154264331

NPI 1154264331 : KENJAEL HOME CARE SERVICES LLC : FAIRFIELD, OH

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General NPI Number Information
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    NPI Number           |    1154264331
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    Entity Type          |    Organization 
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    Legal Business Name  |    KENJAEL HOME CARE SERVICES LLC 
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Dates
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    Enumeration Date     |    04/13/2026
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    Last Update Date     |    04/13/2026
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Provider Practice Location Address
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    Address Line         |    18 TODAY DR 
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    City                 |    FAIRFIELD
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    State                |    OH
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    Zip                  |    45014-4934
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    Country              |    US
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    Telephone            |    513-384-3611
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18 TODAY DR 18 TODAY DR
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    City                 |    FAIRFIELD
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    State                |    OH
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    Zip                  |    45014-4934
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    Country              |    US
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    Telephone            |    513-384-3611
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ERNESTINA  BASOAH 
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    Credential           |    
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    Telephone            |    513-384-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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