NPI Code Details Logo

NPI 1568833259

NPI 1568833259 : KADENCE HEALTHCARE, INC : UNION CITY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568833259
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KADENCE HEALTHCARE, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/07/2015
-----------------------------------------------------
    Last Update Date     |    11/01/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    29400 KOHOUTEK WAY STE 170 
-----------------------------------------------------
    City                 |    UNION CITY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94587-1212
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    510-979-9262
-----------------------------------------------------
    Fax                  |    510-609-3117
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10840 WALKER ST 
-----------------------------------------------------
    City                 |    CYPRESS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90630-5011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-220-0071
-----------------------------------------------------
    Fax                  |    714-484-6908
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     GREG  KAHN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    714-220-0071
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    74845
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    74845
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.