Provider Demographics
NPI:1053918946
Name:KADOP HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:KADOP HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:OGUNNOIKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-386-2409
Mailing Address - Street 1:437 S YELLOWSTONE DR STE 218
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1061
Mailing Address - Country:US
Mailing Address - Phone:773-386-2409
Mailing Address - Fax:
Practice Address - Street 1:437 S YELLOWSTONE DR STE 218
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1061
Practice Address - Country:US
Practice Address - Phone:608-315-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care