Provider Demographics
NPI:1396217899
Name:SILVER KNIGHT HOME CARE
Entity Type:Organization
Organization Name:SILVER KNIGHT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-400-9972
Mailing Address - Street 1:2600 CENTRAL AVE STE L
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3187
Mailing Address - Country:US
Mailing Address - Phone:510-400-9972
Mailing Address - Fax:888-369-0489
Practice Address - Street 1:2600 CENTRAL AVE STE L
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3187
Practice Address - Country:US
Practice Address - Phone:510-400-9972
Practice Address - Fax:888-369-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care