Provider Demographics
NPI:1598301848
Name:J & K CARE LLC
Entity Type:Organization
Organization Name:J & K CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-309-8923
Mailing Address - Street 1:66 MAIN ST APT 711
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7091
Mailing Address - Country:US
Mailing Address - Phone:914-309-8923
Mailing Address - Fax:
Practice Address - Street 1:66 MAIN ST APT 711
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7091
Practice Address - Country:US
Practice Address - Phone:914-309-8923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty