Provider Demographics
NPI:1295609261
Name:KAIROS CARE
Entity type:Organization
Organization Name:KAIROS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBELE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:336-210-4753
Mailing Address - Street 1:807 CATLETT CT
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21716-9811
Mailing Address - Country:US
Mailing Address - Phone:336-210-4753
Mailing Address - Fax:
Practice Address - Street 1:807 CATLETT CT
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-9811
Practice Address - Country:US
Practice Address - Phone:336-210-4753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health