# KAYGEE40, INCORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAROLKAY HEALTHCARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508370891
- **Authorized official:** OLUKAYODE TAIWO RN, MSN, MBA (CEO/ADMINISTRATOR)
- **Authorized official phone:** (301) 704-5094

## Contact information

- **Practice address:** 6911 LAUREL BOWIE RD STE 303, BOWIE, MD 20715-1712
- **Practice address phone:** (301) 704-5094
- **Practice address fax:** (240) 245-4232
- **Mailing address:** 12800 WILLOW MARSH LN, BOWIE, MD 20720-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | R4084R | MD | — |
| 251E00000X | Home Health Agency | R4084R | MD | Yes |
| 251J00000X | Nursing Care Agency | R4084R | MD | — |
| 261QP2000X | Physical Therapy Clinic/Center | R4084R | MD | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R4084R | MD | — |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 03/17/2018