Provider Demographics
NPI:1366281800
Name:KAISAC HEALTHCARE LLC
Entity type:Organization
Organization Name:KAISAC HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUCASLOVE
Authorized Official - Middle Name:N
Authorized Official - Last Name:AWAH MUSAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:857-312-3542
Mailing Address - Street 1:4430 SANDHILL TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4168
Mailing Address - Country:US
Mailing Address - Phone:857-312-3542
Mailing Address - Fax:
Practice Address - Street 1:4430 SANDHILL TERRACE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4168
Practice Address - Country:US
Practice Address - Phone:857-312-3542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty