MEDICARE: KWN CARE SERVICESLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1912855289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KWN CARE SERVICESLLC

Provider Business Mailing Address
First Line	:	5939 IONA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2029
Country	:	US
Telephone Number	:	407-591-1264
Fax Number	:

Provider Business Practice Location Address
First Line	:	5939 IONA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2029
Country	:	US
Telephone Number	:	407-591-1264
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA NEELEY
Credential	:
Telephone Number	:	407-591-1264

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “KWN CARE SERVICESLLC ” Practice Location

Language	Start Address	Practice Location

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