Kadosh Arc LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KADOSH ARC LLC

Practice address

1207 Delaware Ave # 3300
Wilmington, DE 19806-4743

Phone

(240) 413-7993

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Agbor Odi

Title

Director

Phone

(240) 413-7993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1891513834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE # 3300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE # 3300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064743",
            "telephone_number": "240-413-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADOSH ARC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ODI",
        "authorized_official_first_name": "AGBOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-413-7993"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Justice
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• Jacqueline Kacmar
• Connie Lynn Kade, ACSW
• Christopher Kady, LPC
• Kahak de Inc
• Deborah Ann Fromstein Kahal, MD, MPH
• Stephanie R Kahn
• Jacqueline Riegel Kairis, LPC

• Developmentally Disabled Services Day Training Agency in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Developmentally Disabled Services Day Training Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.