Provider Demographics
NPI:1891062881
Name:KAMOS HOME CARE SERVICES
Entity Type:Organization
Organization Name:KAMOS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KUDIRAT
Authorized Official - Middle Name:IBIRONKE
Authorized Official - Last Name:SHITTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-202-6928
Mailing Address - Street 1:8235 SONESTA POINT LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5083
Mailing Address - Country:US
Mailing Address - Phone:832-202-6928
Mailing Address - Fax:
Practice Address - Street 1:13110 NEWBROOK DR.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3814
Practice Address - Country:US
Practice Address - Phone:832-202-6928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care