Healthcare Provider Details

I. General information

NPI: 1124951678
Provider Name (Legal Business Name): KAIROS OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 KENWOOD RD
BLUE ASH OH
45242-2812
US

IV. Provider business mailing address

4064 BEECHWOOD AVE
CINCINNATI OH
45229-1410
US

V. Phone/Fax

Practice location:
  • Phone: 786-246-9933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LUIS F BALLADARES
Title or Position: CEO
Credential:
Phone: 786-246-9933