Provider Demographics
NPI:1326237199
Name:KONO CARE SERVICES
Entity Type:Organization
Organization Name:KONO CARE SERVICES
Other - Org Name:YAHAYA K. GARBA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YAHAYA
Authorized Official - Middle Name:KONO
Authorized Official - Last Name:GARBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-216-7713
Mailing Address - Street 1:5705 E 96TH PL
Mailing Address - Street 2:APT. # 203
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-2916
Mailing Address - Country:US
Mailing Address - Phone:816-216-7713
Mailing Address - Fax:816-298-7333
Practice Address - Street 1:5705 E 96TH PL
Practice Address - Street 2:APT. # 203
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-2916
Practice Address - Country:US
Practice Address - Phone:816-216-7713
Practice Address - Fax:816-298-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266284306Medicaid
MO286284302Medicaid