Healthcare Provider Details

I. General information

NPI: 1417677345
Provider Name (Legal Business Name): L&K CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ARCH ST
NEW BRITAIN CT
06051-2519
US

IV. Provider business mailing address

212 PUGSLEY AVE FL 1
BRONX NY
10473-2320
US

V. Phone/Fax

Practice location:
  • Phone: 347-731-2431
  • Fax:
Mailing address:
  • Phone: 646-764-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. KRYSTAL YOLY RODRIGUEZ VALLE I
Title or Position: OWNER
Credential:
Phone: 646-764-0093