Healthcare Provider Details

I. General information

NPI: 1124907878
Provider Name (Legal Business Name): J & K HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 SEALINE BLVD
GREENACRES FL
33463-5961
US

IV. Provider business mailing address

5407 SEALINE BLVD
GREENACRES FL
33463-5961
US

V. Phone/Fax

Practice location:
  • Phone: 561-975-5347
  • Fax:
Mailing address:
  • Phone: 561-975-5347
  • 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: FIONA LYTTLE
Title or Position: CEO
Credential:
Phone: 561-975-5347