Healthcare Provider Details

I. General information

NPI: 1568833259
Provider Name (Legal Business Name): KADENCE HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29400 KOHOUTEK WAY STE 170
UNION CITY CA
94587-1212
US

IV. Provider business mailing address

10840 WALKER ST
CYPRESS CA
90630-5011
US

V. Phone/Fax

Practice location:
  • Phone: 510-979-9262
  • Fax: 510-609-3117
Mailing address:
  • Phone: 714-220-0071
  • Fax: 714-484-6908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number74845
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number74845
License Number StateCA

VIII. Authorized Official

Name: GREG KAHN
Title or Position: CEO
Credential:
Phone: 714-220-0071