Provider Demographics
NPI:1881462166
Name:KINGS HOME CARE CORP
Entity type:Organization
Organization Name:KINGS HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:REYES RINCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-504-1149
Mailing Address - Street 1:13542 N FLORIDA AVE STE 213B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3200
Mailing Address - Country:US
Mailing Address - Phone:813-504-1149
Mailing Address - Fax:
Practice Address - Street 1:13542 N FLORIDA AVE STE 213B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3200
Practice Address - Country:US
Practice Address - Phone:813-504-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care