Provider Demographics
NPI:1508371824
Name:KAMVIC HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:KAMVIC HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:RACHEAL
Authorized Official - Last Name:OZIGBU
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:713-730-5040
Mailing Address - Street 1:21111 BARTON HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-6416
Mailing Address - Country:US
Mailing Address - Phone:832-362-3650
Mailing Address - Fax:713-588-2727
Practice Address - Street 1:21111 BARTON HOLLOW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-6416
Practice Address - Country:US
Practice Address - Phone:832-362-3650
Practice Address - Fax:713-588-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty