Healthcare Provider Details

I. General information

NPI: 1669684528
Provider Name (Legal Business Name): RK HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14202 62ND ST N
CLEARWATER FL
33760-2717
US

IV. Provider business mailing address

14202 62ND ST N
CLEARWATER FL
33760-2717
US

V. Phone/Fax

Practice location:
  • Phone: 727-799-1400
  • Fax: 727-799-3958
Mailing address:
  • Phone: 727-799-1400
  • Fax: 727-799-3958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992754
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANN CASTLE
Title or Position: PRESIDENT
Credential:
Phone: 727-799-1400