MEDICARE: KEMPER HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1376777946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEMPER HOME CARE

Provider Business Mailing Address
First Line	:	10307 DETROIT AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-1604
Country	:	US
Telephone Number	:	216-472-4200
Fax Number	:	216-472-4220

Provider Business Practice Location Address
First Line	:	10307 DETROIT AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-1604
Country	:	US
Telephone Number	:	216-472-4200
Fax Number	:	216-472-4220

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS DEVELOPMENT
Name	:	MATT MAJHER
Credential	:
Telephone Number	:	216-472-4200

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	05/11/2009

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