Provider Demographics
NPI:1326027475
Name:KINA HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:KINA HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:ABAKWUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-776-2551
Mailing Address - Street 1:6666 HARWIN DR STE 290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2272
Mailing Address - Country:US
Mailing Address - Phone:713-776-2551
Mailing Address - Fax:713-776-2553
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-776-2551
Practice Address - Fax:713-776-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011337251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679398Medicare Oscar/Certification