Provider Demographics
NPI:1427758077
Name:KAYGEE TOTAL CARE INC
Entity type:Organization
Organization Name:KAYGEE TOTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:U
Authorized Official - Last Name:OMOPARIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, RNC-NIC
Authorized Official - Phone:682-258-3605
Mailing Address - Street 1:7204 SILVER CITY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-2223
Mailing Address - Country:US
Mailing Address - Phone:682-258-3605
Mailing Address - Fax:
Practice Address - Street 1:7204 SILVER CITY DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-2223
Practice Address - Country:US
Practice Address - Phone:682-258-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health