Provider Demographics
NPI:1437342177
Name:KESWOOD HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KESWOOD HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWATOSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:346-673-8552
Mailing Address - Street 1:464 LONG BEACH BAY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-6441
Mailing Address - Country:US
Mailing Address - Phone:346-673-8552
Mailing Address - Fax:281-416-4878
Practice Address - Street 1:464 LONG BEACH BAY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-6441
Practice Address - Country:US
Practice Address - Phone:346-673-8552
Practice Address - Fax:281-416-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 385H00000X, 372500000X, 372600000X, 3747A0650X, 3747P1801X, 376J00000X
TX011156251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty