Healthcare Provider Details

I. General information

NPI: 1568144673
Provider Name (Legal Business Name): KEFI CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W 26TH ST APT 4
NEW YORK NY
10001-6897
US

IV. Provider business mailing address

237 W 26TH ST APT 4
NEW YORK NY
10001-6897
US

V. Phone/Fax

Practice location:
  • Phone: 917-558-6921
  • Fax:
Mailing address:
  • Phone: 917-558-6921
  • 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. ALEXANDRA NIKOLAIDIS
Title or Position: OWNER
Credential: MS, CCC-SLP, TSSLD
Phone: 917-558-6921