Healthcare Provider Details

I. General information

NPI: 1245602689
Provider Name (Legal Business Name): TKV HOSPITALITY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 C OLD COUNTRY RD UNIT C
HICKSVILLE NY
11801-4011
US

IV. Provider business mailing address

256 C OLD COUNTRY ROAD
HICKSVILLE NY
11801
US

V. Phone/Fax

Practice location:
  • Phone: 516-850-1656
  • Fax: 516-277-1482
Mailing address:
  • Phone: 516-850-1656
  • Fax: 516-277-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: NARENDER KAUR
Title or Position: VICE PRESIDENT
Credential:
Phone: 516-261-9222