1992734628 NPI number — KALOR HOME MEDICAL, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992734628 NPI number — KALOR HOME MEDICAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KALOR HOME MEDICAL, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KALOR HOME MEDICAL, INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992734628
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3005 HOWELL ST
Provider Second Line Business Mailing Address:
117
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76010-1445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-385-0304
Provider Business Mailing Address Fax Number:
817-385-0235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3005 HOWELL ST
Provider Second Line Business Practice Location Address:
117
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76010-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-385-0304
Provider Business Practice Location Address Fax Number:
817-385-0235
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NGWANAH
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
FONCHAM
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
817-385-0304

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  0086586 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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