Provider Demographics
NPI:1619247251
Name:KD CARE LLC
Entity Type:Organization
Organization Name:KD CARE LLC
Other - Org Name:AT YOUR SIDE HOME CARE-KATY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-1527
Mailing Address - Street 1:19407 PARK ROW
Mailing Address - Street 2:STE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7800
Mailing Address - Country:US
Mailing Address - Phone:832-212-1527
Mailing Address - Fax:
Practice Address - Street 1:19407 PARK ROW
Practice Address - Street 2:STE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7800
Practice Address - Country:US
Practice Address - Phone:832-212-1527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care