Provider Demographics
NPI:1669684528
Name:RK HEALTHCARE, INC
Entity Type:Organization
Organization Name:RK HEALTHCARE, INC
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-799-1400
Mailing Address - Street 1:14202 62ND ST N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2717
Mailing Address - Country:US
Mailing Address - Phone:727-799-1400
Mailing Address - Fax:727-799-3958
Practice Address - Street 1:14202 62ND ST N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-2717
Practice Address - Country:US
Practice Address - Phone:727-799-1400
Practice Address - Fax:727-799-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992754251E00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104365500Medicaid
FL692428001Medicaid
FL692428000Medicaid