Provider Demographics
NPI:1497338305
Name:KADOL ADULT INDEPENDENT LIVING
Entity Type:Organization
Organization Name:KADOL ADULT INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LIVINUS
Authorized Official - Middle Name:UGO
Authorized Official - Last Name:ONWUEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-498-3142
Mailing Address - Street 1:7519 TIMBERWAY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4613
Mailing Address - Country:US
Mailing Address - Phone:713-498-3142
Mailing Address - Fax:281-617-7479
Practice Address - Street 1:7519 TIMBERWAY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4613
Practice Address - Country:US
Practice Address - Phone:713-498-3142
Practice Address - Fax:281-617-7479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KADOL ADULT INDEPENDENT LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health