Provider Demographics
NPI:1871677492
Name:KEALOHI LLC
Entity Type:Organization
Organization Name:KEALOHI LLC
Other - Org Name:CONTINUITY OF CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-968-0564
Mailing Address - Street 1:805 N CAGE BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3109
Mailing Address - Country:US
Mailing Address - Phone:956-961-4870
Mailing Address - Fax:956-961-4871
Practice Address - Street 1:805 N CAGE BLVD STE K
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3109
Practice Address - Country:US
Practice Address - Phone:956-916-4870
Practice Address - Fax:956-961-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010367251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679666Medicare Oscar/Certification