Keno Senior Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

57-186865 Issued in OH

Legal business name

KENO SENIOR SERVICES INC

Doing business as

ComForcare Senior Services

Practice address

5335 Far Hills Ave
Suite 107
Dayton, OH 45429-2350

Phone

(937) 432-6475

Fax

(937) 432-6916

NPI assigned

Jun 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ken Olsen

Title

Owner- President

Phone

(937) 432-6475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ComForcare Senior Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144425091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE",
            "address_2": "SUITE 107",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292350",
            "telephone_number": "937-432-6475",
            "fax_number": "937-432-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE",
            "address_2": "SUITE 107",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292350",
            "telephone_number": "937-432-6475",
            "fax_number": "937-432-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENO SENIOR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER- PRESIDENT",
        "authorized_official_telephone_number": "937-432-6475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "57-186865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30730606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.