Provider Demographics
NPI:1881119972
Name:KAIROS PHILOS HOME CARE
Entity type:Organization
Organization Name:KAIROS PHILOS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-469-1730
Mailing Address - Street 1:21515 CHAGRIN BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5339
Mailing Address - Country:US
Mailing Address - Phone:216-751-5874
Mailing Address - Fax:
Practice Address - Street 1:21515 CHAGRIN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5339
Practice Address - Country:US
Practice Address - Phone:216-751-5874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health