Healthcare Provider Details

I. General information

NPI: 1699521245
Provider Name (Legal Business Name): KIDS AND ELDERS CARE CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8711 MARINA ALTO LN
CYPRESS TX
77433-3285
US

IV. Provider business mailing address

8711 MARINA ALTO LN
CYPRESS TX
77433-3285
US

V. Phone/Fax

Practice location:
  • Phone: 337-677-1733
  • Fax:
Mailing address:
  • Phone: 337-677-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ONYACHU MILDRED NGITOH
Title or Position: MANAGER
Credential:
Phone: 651-279-9776