Provider Demographics
NPI:1124882642
Name:KCARE HOMES LLC
Entity type:Organization
Organization Name:KCARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:VALDERAMA
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-838-1340
Mailing Address - Street 1:3003 OLIN AVE UNIT 317
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2440
Mailing Address - Country:US
Mailing Address - Phone:650-270-8800
Mailing Address - Fax:
Practice Address - Street 1:1935 BIG BEND DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6603
Practice Address - Country:US
Practice Address - Phone:408-956-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KCARE HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities