Provider Demographics
NPI:1700560216
Name:D.K.HOME CARE INC
Entity Type:Organization
Organization Name:D.K.HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-497-1250
Mailing Address - Street 1:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-0303
Mailing Address - Country:US
Mailing Address - Phone:856-497-1250
Mailing Address - Fax:856-617-6266
Practice Address - Street 1:273A W KINGS HWY
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1616
Practice Address - Country:US
Practice Address - Phone:856-497-1250
Practice Address - Fax:856-617-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care