NPIMap

Organization Active NPI

Kairos Healthcare Incorporated

  • Social Worker
  • Saginaw, MI
National Provider Identifier
1174690648
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
730174 Issued in MI
Legal business name
KAIROS HEALTHCARE INCORPORATED
Practice address
1321 S Fayette St
Saginaw, MI 48602-1447
Phone
(989) 792-8000
Fax
(989) 792-8445
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Fred E. Wigen Jr.
Title
President Ceo
Phone
(989) 777-4357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 730174 MI
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 730174 MI Primary

Addresses

Primary practice location

1321 S Fayette St
Saginaw, MI 48602-1447

Mailing address

6379 Dixie Hwy
Bridgeport, MI 48722-9566
Phone (989) 777-4357

National Provider Directory

National Provider Directory
Tax ID family
Kairos Healthcare Incorporated5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1321 S Fayette St
Saginaw, MI 48602
Phone (989) 598-5679

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1174690648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6379 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229566",
            "telephone_number": "989-777-4357",
            "fax_number": "989-777-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S FAYETTE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021447",
            "telephone_number": "989-792-8000",
            "fax_number": "989-792-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "WIGEN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "989-777-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "730174",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "730174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.