Provider Demographics
NPI:1316243421
Name:KC HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:KC HEALTHCARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKA
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:ORAKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-238-0567
Mailing Address - Street 1:PO BOX 703
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-0018
Mailing Address - Country:US
Mailing Address - Phone:281-238-0567
Mailing Address - Fax:281-238-0708
Practice Address - Street 1:902 OPAL CHASE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6475
Practice Address - Country:US
Practice Address - Phone:281-238-0567
Practice Address - Fax:281-238-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801376331302R00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization