Healthcare Provider Details

I. General information

NPI: 1720753692
Provider Name (Legal Business Name): KADENCE HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5816 E SHIELDS AVE STE 111
FRESNO CA
93727-8064
US

IV. Provider business mailing address

10840 WALKER ST
CYPRESS CA
90630-5011
US

V. Phone/Fax

Practice location:
  • Phone: 559-550-3690
  • Fax: 510-373-6376
Mailing address:
  • Phone: 424-286-1080
  • Fax: 310-870-7324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREG KAHN
Title or Position: CEO
Credential:
Phone: 424-286-1080