Healthcare Provider Details

I. General information

NPI: 1922910439
Provider Name (Legal Business Name): KYKY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 CLEVELAND AVE STE 275
FORT MYERS FL
33901-7054
US

IV. Provider business mailing address

617 NE 2ND AVE
CAPE CORAL FL
33909-1934
US

V. Phone/Fax

Practice location:
  • Phone: 239-994-3055
  • Fax:
Mailing address:
  • Phone: 239-994-3055
  • Fax:

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: NELTA VOLMY
Title or Position: OWNER
Credential:
Phone: 239-994-3055