Provider Demographics
NPI:1366823213
Name:KAEMO CARE
Entity type:Organization
Organization Name:KAEMO CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JOINT OWNER/ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYDRA
Authorized Official - Middle Name:MONAE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-638-1318
Mailing Address - Street 1:11002 SELA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3632
Mailing Address - Country:US
Mailing Address - Phone:615-638-1318
Mailing Address - Fax:
Practice Address - Street 1:11002 SELA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3632
Practice Address - Country:US
Practice Address - Phone:615-638-1318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health