Provider Demographics
NPI:1639786114
Name:CAQUI, INC
Entity Type:Organization
Organization Name:CAQUI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:PAYNE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:678-772-8876
Mailing Address - Street 1:11304 W 144TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-8036
Mailing Address - Country:US
Mailing Address - Phone:678-772-8876
Mailing Address - Fax:
Practice Address - Street 1:11304 W 144TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-8036
Practice Address - Country:US
Practice Address - Phone:678-772-8876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care