Provider Demographics
NPI:1972203305
Name:KAIROS PRIMARY HEALTH CARE LLC
Entity type:Organization
Organization Name:KAIROS PRIMARY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:S
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-600-2881
Mailing Address - Street 1:1720 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PALMHURST
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8468
Mailing Address - Country:US
Mailing Address - Phone:956-600-2881
Mailing Address - Fax:956-598-8502
Practice Address - Street 1:1720 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:PALMHURST
Practice Address - State:TX
Practice Address - Zip Code:78573-8468
Practice Address - Country:US
Practice Address - Phone:956-600-2881
Practice Address - Fax:956-598-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health