Provider Demographics
NPI:1174915979
Name:KAY;S CARING HANDS
Entity type:Organization
Organization Name:KAY;S CARING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-881-7100
Mailing Address - Street 1:6028 CHESTER AVE
Mailing Address - Street 2:#107
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-1205
Mailing Address - Country:US
Mailing Address - Phone:904-881-7100
Mailing Address - Fax:904-379-5730
Practice Address - Street 1:6028 CHESTER AVE
Practice Address - Street 2:#107
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-1205
Practice Address - Country:US
Practice Address - Phone:904-881-7100
Practice Address - Fax:904-379-5730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHMRICP-253Z00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL685642096Medicaid