Provider Demographics
NPI:1588673396
Name:K & K HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:K & K HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-536-4282
Mailing Address - Street 1:2363 CORNWALLIS RD
Mailing Address - Street 2:
Mailing Address - City:GARYSBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27831-9503
Mailing Address - Country:US
Mailing Address - Phone:252-536-4282
Mailing Address - Fax:252-536-2536
Practice Address - Street 1:420 HWY 301
Practice Address - Street 2:
Practice Address - City:GARYSBURG
Practice Address - State:NC
Practice Address - Zip Code:27831
Practice Address - Country:US
Practice Address - Phone:252-536-4282
Practice Address - Fax:252-536-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2946251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601249Medicaid
NC3408321Medicaid