Healthcare Provider Details

I. General information

NPI: 1295642619
Provider Name (Legal Business Name): RK CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11014 E EGRET PT
CLOVIS CA
93619-4685
US

IV. Provider business mailing address

PO BOX 1713
CLOVIS CA
93613-1713
US

V. Phone/Fax

Practice location:
  • Phone: 559-392-2731
  • Fax:
Mailing address:
  • Phone: 559-392-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RODOLFO BASA
Title or Position: MANAGING MEMBER
Credential:
Phone: 559-392-2731