K.A.D.C., LLC


Address: 5540 Old Seguin Road, San Antonio, TX 78219-1043
Phone: 2107978812

K.A.D.C., LLC (NPI# 1144432642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144432642
Entity Type Organization
Organization Name K.A.D.C., LLC
Practice Address 5540 Old Seguin Road
San Antonio
TX 78219-1043
Practice Telephone 2107978812
Practice Fax Number 2103101602
Mailing Telephone 2107978812
Mailing Fax Number 2103101602
Enumeration Date 2007-05-04
Last Update Date 2020-08-22
Authorized Official Name MS. MERCEDES M. HYSAW (OWNER DIRECTOR)
Authorized Official Telephone 2107978812
Authorized Official Credential B.A
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 010166 TX Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
TX SOCIAL SECURITY NUMBER $$$$$$$$$ 01

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names K & A LANDSCAPE MAINTENANCE, LLC 4992 S Hwy 211, Woodburn, OR 97071
Iowa Business Entities K & B CRAFT BRANDS AND COMPANY, LLC 20721 Emerick Rd, Pacific Junction, IA 51561
Oregon Corporations, Companies and Business Names K & C LANDSCAPE, LLC 52687 Skyline Ter, Scappoose, OR 97056
New York State Corporations K & E HALFWAY RESIDENCE SOBER LIVING, LLC 281 Hubert Road, Jeffersonville, Ny 12748
Iowa Business Entities K & F HAHN CONCRETE PRODUCTS, LLC 2366 Echo Ave, Letts, IA 52754
Colorado Business Entities K & J Handyman Services, LLC 71 S Ames St, Lakewood, CO 80226
New York State Corporations K & J LAWN AND LANDSCAPE, LLC 2612 Upper Mountain Road, Sanborn, New York 14132
Connecticut Business Registrations K & J Tile and Hard Surface Cleaning, LLC 638 Liberty Highway, Putnam, CT 06260
Washington State Corporations K & K AND ASSOCIATES, LLC 8454 E Caraway Road, Port Orchard, WA 98366-8509
Iowa Business Entities K & K REPAIR AND CONTRACTING, LLC 137 N Main St, Walcott, IA 52773

Office Location

Street Address 5540 OLD SEGUIN ROAD
City SAN ANTONIO
State TX
Zip Code 78219-1043

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1376085282 Dr David S Wise Pa Point of Service 11606 Mill Rock Rd, San Antonio, TX 78230-2762 2016-11-08

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Competitor

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City SAN ANTONIO
Zip Code 78219

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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