Provider Demographics
NPI:1164213146
Name:KHLOE'S KOVE LLC
Entity type:Organization
Organization Name:KHLOE'S KOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-262-1666
Mailing Address - Street 1:18214 ALEMARBLE OAK ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1414
Mailing Address - Country:US
Mailing Address - Phone:737-262-1666
Mailing Address - Fax:
Practice Address - Street 1:18214 ALEMARBLE OAK ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1414
Practice Address - Country:US
Practice Address - Phone:737-262-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health