Provider Demographics
NPI:1750940193
Name:K & C CARE SERVICES INC
Entity type:Organization
Organization Name:K & C CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ODALIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CABALLERO MAYTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-317-9024
Mailing Address - Street 1:175 FONTAINEBLEAU BLVD STE 1R2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7023
Mailing Address - Country:US
Mailing Address - Phone:786-317-9024
Mailing Address - Fax:786-359-4020
Practice Address - Street 1:900 SW 84TH AVE APT 215
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4104
Practice Address - Country:US
Practice Address - Phone:786-317-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care