Healthcare Provider Details

I. General information

NPI: 1295609261
Provider Name (Legal Business Name): KAIROS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 E BURKE ST OFC 5
MARTINSBURG WV
25401-4302
US

IV. Provider business mailing address

126 E BURKE ST OFC 5
MARTINSBURG WV
25401-4302
US

V. Phone/Fax

Practice location:
  • Phone: 336-210-4753
  • Fax:
Mailing address:
  • Phone: 336-210-4753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABLA AGBELE
Title or Position: CEO
Credential: MHA
Phone: 336-210-4753