MEDICARE: KIDS AND ELDERS CARE CONNECTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1699521245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS AND ELDERS CARE CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	8711 MARINA ALTO LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-3285
Country	:	US
Telephone Number	:	337-677-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	8711 MARINA ALTO LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-3285
Country	:	US
Telephone Number	:	337-677-1733
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ONYACHU MILDRED NGITOH
Credential	:
Telephone Number	:	651-279-9776

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	10/02/2025

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