Provider Demographics
NPI:1255370607
Name:K & D HOME HEALTH CARE CORP
Entity type:Organization
Organization Name:K & D HOME HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-583-7077
Mailing Address - Street 1:4330 W BROWARD BLVD
Mailing Address - Street 2:SUITE O
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3775
Mailing Address - Country:US
Mailing Address - Phone:954-583-7077
Mailing Address - Fax:954-583-7099
Practice Address - Street 1:4330 W BROWARD BLVD
Practice Address - Street 2:SUITE O
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3775
Practice Address - Country:US
Practice Address - Phone:954-583-7077
Practice Address - Fax:954-583-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992069251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651185600Medicaid
FL108375Medicare Oscar/Certification