Provider Demographics
NPI:1386906220
Name:S & K HOME CARE, INC.
Entity type:Organization
Organization Name:S & K HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUVON
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-580-1923
Mailing Address - Street 1:829 CONNALY DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-5619
Mailing Address - Country:US
Mailing Address - Phone:910-580-1923
Mailing Address - Fax:910-486-5551
Practice Address - Street 1:829 CONNALY DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-5619
Practice Address - Country:US
Practice Address - Phone:910-580-1923
Practice Address - Fax:910-486-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care