Provider Demographics
NPI:1063087674
Name:KADENCE HEALTHCARE, INC
Entity type:Organization
Organization Name:KADENCE HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-286-1080
Mailing Address - Street 1:10840 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5011
Mailing Address - Country:US
Mailing Address - Phone:424-286-1080
Mailing Address - Fax:310-870-7324
Practice Address - Street 1:4740 NORTHGATE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1151
Practice Address - Country:US
Practice Address - Phone:916-458-4800
Practice Address - Fax:916-672-9773
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KADENCE HEALTHCARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-25
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies