Provider Demographics
NPI:1528020997
Name:KAFE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:KAFE HEALTH SERVICES, INC.
Other - Org Name:BABY STEPS HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-822-7837
Mailing Address - Street 1:8055 W MANCHESTER AVE
Mailing Address - Street 2:#405E
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-7960
Mailing Address - Country:US
Mailing Address - Phone:310-822-7837
Mailing Address - Fax:310-439-1821
Practice Address - Street 1:8055 W MANCHESTER AVE
Practice Address - Street 2:#405E
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7960
Practice Address - Country:US
Practice Address - Phone:310-822-7837
Practice Address - Fax:310-439-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-8237Medicare ID - Type UnspecifiedPROVIDER NUMBER