Provider Demographics
NPI:1508188681
Name:K & K CARE INC.
Entity Type:Organization
Organization Name:K & K CARE INC.
Other - Org Name:SOUTHERN CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-240-0887
Mailing Address - Street 1:219 W HIDALGO AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-3525
Mailing Address - Country:US
Mailing Address - Phone:956-240-0887
Mailing Address - Fax:
Practice Address - Street 1:219 W. HIDALGO
Practice Address - Street 2:SUITE B
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-0000
Practice Address - Country:US
Practice Address - Phone:956-240-0887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health