Healthcare Provider Details

I. General information

NPI: 1386575124
Provider Name (Legal Business Name): K'RISMAS HOME HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3048 DEL PRADO BLVD S STE 120
CAPE CORAL FL
33904-7212
US

IV. Provider business mailing address

3048 DEL PRADO BLVD S STE 120
CAPE CORAL FL
33904-7212
US

V. Phone/Fax

Practice location:
  • Phone: 239-471-7426
  • Fax: 239-471-7274
Mailing address:
  • Phone: 239-471-7426
  • Fax: 239-471-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANNETTE MORALES
Title or Position: VICE-PRESIDENT
Credential:
Phone: 239-471-7426