Healthcare Provider Details

I. General information

NPI: 1629915848
Provider Name (Legal Business Name): RKS CAREGIVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6108 AZALEA CIR
WEST PALM BCH FL
33415-4461
US

IV. Provider business mailing address

6108 AZALEA CIR
WEST PALM BCH FL
33415-4461
US

V. Phone/Fax

Practice location:
  • Phone: 954-707-2355
  • Fax:
Mailing address:
  • Phone: 954-707-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSALAINE ESTIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-707-2355