Provider Demographics
NPI:1821859422
Name:Q&K HOMECARE
Entity Type:Organization
Organization Name:Q&K HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:QUASHEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-598-3380
Mailing Address - Street 1:2301 9TH STREET SOUTH
Mailing Address - Street 2:E
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-3635
Mailing Address - Country:US
Mailing Address - Phone:727-598-3380
Mailing Address - Fax:
Practice Address - Street 1:2301 9TH STREET SOUTH
Practice Address - Street 2:E
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2723
Practice Address - Country:US
Practice Address - Phone:727-598-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty