MEDICARE: KC HEALTHCARE & REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320700000X	Physical Disabilities Residential Treatment Facility	172605	TX
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164514006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KC HEALTHCARE & REHABILITATION

Provider Business Mailing Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	SUITE 248A
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-781-2050
Fax Number	:	281-238-9812

Provider Business Practice Location Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	SUITE 248A
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-781-2050
Fax Number	:	281-238-9812

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	MR. CHUKA ORAKPO
Credential	:
Telephone Number	:	713-781-2050

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	01/29/2019

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Directions to “KC HEALTHCARE & REHABILITATION ” Practice Location

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