Provider Demographics
NPI:1609565217
Name:KA-N-VE ELDERLY CARE LLC
Entity Type:Organization
Organization Name:KA-N-VE ELDERLY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONA
Authorized Official - Middle Name:MERICIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:904-412-7497
Mailing Address - Street 1:7200 BLAIRTON WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-2516
Mailing Address - Country:US
Mailing Address - Phone:904-412-7497
Mailing Address - Fax:
Practice Address - Street 1:7200 BLAIRTON WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32222-2516
Practice Address - Country:US
Practice Address - Phone:904-412-7497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Multi-Specialty