Healthcare Provider Details

I. General information

NPI: 1326906009
Provider Name (Legal Business Name): KAVOD HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PINE RUN CT
WINDSOR MILL MD
21244-1329
US

IV. Provider business mailing address

18 PINE RUN CT
WINDSOR MILL MD
21244-1329
US

V. Phone/Fax

Practice location:
  • Phone: 862-872-0828
  • Fax: 862-872-0828
Mailing address:
  • Phone: 862-872-0828
  • Fax: 862-872-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. TITILOPE ABOSEDE ABIMBOLA
Title or Position: MD/CEO
Credential: BSC., MSC., POST-BAC
Phone: 862-872-0828