Provider Demographics
NPI:1801625710
Name:KAIROS HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:KAIROS HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-455-8954
Mailing Address - Street 1:10601 BIRDIE LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-6022
Mailing Address - Country:US
Mailing Address - Phone:301-272-5016
Mailing Address - Fax:
Practice Address - Street 1:609 H ST NE STE 305
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7184
Practice Address - Country:US
Practice Address - Phone:301-272-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health