Provider Demographics
NPI:1841994753
Name:DNC RELIABLE KARE LLC
Entity type:Organization
Organization Name:DNC RELIABLE KARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER4
Authorized Official - Prefix:
Authorized Official - First Name:DENETRA
Authorized Official - Middle Name:NEKIA
Authorized Official - Last Name:CROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-888-5353
Mailing Address - Street 1:5258 MILLENIA BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-5631
Mailing Address - Country:US
Mailing Address - Phone:407-770-3601
Mailing Address - Fax:
Practice Address - Street 1:260 MAITLAND AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5510
Practice Address - Country:US
Practice Address - Phone:140-777-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty