Provider Demographics
NPI:1093308256
Name:IKARE LLC
Entity Type:Organization
Organization Name:IKARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATARSHA
Authorized Official - Middle Name:SHATA
Authorized Official - Last Name:CREEKMORE-MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:757-324-1010
Mailing Address - Street 1:20 RESEARCH DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1325
Mailing Address - Country:US
Mailing Address - Phone:757-506-0930
Mailing Address - Fax:757-506-0934
Practice Address - Street 1:20 RESEARCH DR STE 300
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1325
Practice Address - Country:US
Practice Address - Phone:757-506-0930
Practice Address - Fax:757-505-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care