MEDICARE: DK HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578400735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DK HOMECARE LLC

Provider Business Mailing Address
First Line	:	4037 E INDEPENDENCE BLVD STE 501
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3260
Country	:	US
Telephone Number	:	314-643-1861
Fax Number	:

Provider Business Practice Location Address
First Line	:	4037 E INDEPENDENCE BLVD STE 501
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3260
Country	:	US
Telephone Number	:	314-643-1861
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	FELICIA WILLIAMS
Credential	:
Telephone Number	:	314-643-1861

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “DK HOMECARE LLC ” Practice Location

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