Provider Demographics
NPI:1467543496
Name:KAYDAR, INC.
Entity Type:Organization
Organization Name:KAYDAR, INC.
Other - Org Name:CEDAR VIEW MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROHDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-372-3838
Mailing Address - Street 1:1507 E COURT ST STE 119
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5279
Mailing Address - Country:US
Mailing Address - Phone:830-372-3838
Mailing Address - Fax:830-491-5760
Practice Address - Street 1:1507 E COURT ST STE 119
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5279
Practice Address - Country:US
Practice Address - Phone:830-372-3838
Practice Address - Fax:830-491-5760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0915282-01Medicaid
TX143223Medicaid
0778810001Medicare ID - Type Unspecified