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General NPI Number Information
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NPI Number | 1538952940
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Entity Type | Organization
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Legal Business Name | KENMAR HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 16228 OXLEY RD APT 104
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-455-7498
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Fax | 520-423-3901
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Provider Business Mailing Address
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Address Line | 16228 OXLEY RD SUITE APT 104
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-455-7498
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Fax | 520-423-3901
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Authorized Official
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Title or Position | OWNER
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Name | MS. KENYA TERESA CALDWELL
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Credential |
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Telephone | 313-455-7498
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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