Provider Demographics
NPI:1811663206
Name:KAIROS KIDS CHOICE, LLC
Entity type:Organization
Organization Name:KAIROS KIDS CHOICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-433-2142
Mailing Address - Street 1:5460 HOFFNER AVE STE 406
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2511
Mailing Address - Country:US
Mailing Address - Phone:407-433-2142
Mailing Address - Fax:
Practice Address - Street 1:5460 HOFFNER AVE STE 406
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2511
Practice Address - Country:US
Practice Address - Phone:407-433-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care