Provider Demographics
NPI:1316700081
Name:KLC HOME CARE STAFFING, INC
Entity type:Organization
Organization Name:KLC HOME CARE STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:KIMARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUTHBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-919-5353
Mailing Address - Street 1:10 PECK ST PH
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1212
Mailing Address - Country:US
Mailing Address - Phone:646-919-5353
Mailing Address - Fax:
Practice Address - Street 1:10 PECK ST
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1212
Practice Address - Country:US
Practice Address - Phone:646-919-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care