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General NPI Number Information
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NPI Number | 1811852312
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Entity Type | Organization
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Legal Business Name | KMK CARE ENTERPRISES, INC.
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2530 J ST STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95816-4849
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Country | US
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Telephone | 916-655-4663
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Fax | 916-415-3544
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Provider Business Mailing Address
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Address Line | 11815 TRAILRIDER DR
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City | ELK GROVE
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State | CA
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Zip | 95624-9397
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Country | US
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Telephone | 916-524-7020
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIRANDIP SAMRAN
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Credential |
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Telephone | 916-524-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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