Organization Active NPI

Kairos Home Care Services, LLC

  • Developmental Disabilities Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1639647092
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KAIROS HOME CARE SERVICES, LLC
Practice address
1130 E Donegan Ave Ste 1
Kissimmee, FL 34744-1918
Phone
(407) 734-3888
Fax
(407) 386-3133
NPI assigned
Nov 5, 2018
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Christine ValleNPI 1689181851
Title
Owner
Phone
(407) 433-2142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1130 E Donegan Ave Ste 1
Kissimmee, FL 34744-1918

Mailing address

1130 E Donegan Ave Ste 1
Kissimmee, FL 34744-1918
Phone (407) 734-3888

Other identifiers 1

IdentifierTypeStateIssuer
100297800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kairos Home Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1130 E Donegan Ave
Ste 1
Kissimmee, FL 34744
Phone (407) 734-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1639647092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E DONEGAN AVE STE 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441918",
            "telephone_number": "407-734-3888",
            "fax_number": "407-386-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E DONEGAN AVE STE 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441918",
            "telephone_number": "407-734-3888",
            "fax_number": "407-386-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-433-2142"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100297800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.