Provider Demographics
NPI:1346933900
Name:C & K SENIOR CARE LLC
Entity Type:Organization
Organization Name:C & K SENIOR CARE LLC
Other - Org Name:HOMEWELL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEYTON
Authorized Official - Middle Name:CHANDLER
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-624-8045
Mailing Address - Street 1:140 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-8701
Mailing Address - Country:US
Mailing Address - Phone:601-624-8045
Mailing Address - Fax:
Practice Address - Street 1:140 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-8701
Practice Address - Country:US
Practice Address - Phone:601-624-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care