| Organization Name: | KIWI HOME CARE |
| NPI Number: | 1699001503 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HILDA CUBBERLEY VAUGHAN (OWNER) |
| Mailing Address: | 101 Country Dr Cowan |
| State: | TN US |
| Postal Code: | 373183502 |
| Phone Number: | 9316368836 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 1000000005498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |