Active NPI
Kairos Healthcare Incorporated
- Substance Abuse Rehabilitation Facility
- Saginaw, MI
National Provider Identifier
1417023607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 730174
- 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 28, 2006
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 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
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328565 | Other | MI | VALUE OPTIONS PIN |
| 543980 1427162239 | Other | MI | HEALTH ALLIANCE PLAN PIN |
| 0K47927 | Other | MI | HEALTH PLUS PIN |
| 14072 | Other | MI | MCARE PIN |
National Provider Directory
National Provider Directory- Tax ID family
- Kairos Healthcare Incorporated
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Saginaw, MI
- NPI 1174690648
-
- Social Worker
- Bridgeport, MI
- NPI 1184758435
-
- Children's Substance Abuse Rehabilitation Facility
- Bridgeport, MI
- NPI 1427162239
-
- Social Worker
- Taylor, MI
- NPI 1750457958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417023607",
"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": "2006-11-28",
"last_updated": "2020-08-22",
"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": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MI",
"license": "730174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PIN",
"identifier": "328565",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN PIN",
"identifier": "543980 1427162239",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS PIN",
"identifier": "0K47927",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE PIN",
"identifier": "14072",
"state": "MI"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.