Provider Demographics
NPI:1962708628
Name:C&K HOLDINGS
Entity type:Organization
Organization Name:C&K HOLDINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDIDA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARABY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:502-921-0300
Mailing Address - Street 1:142 BUFFALO RUN RD # D
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-8565
Mailing Address - Country:US
Mailing Address - Phone:502-921-0300
Mailing Address - Fax:
Practice Address - Street 1:142 BUFFALO RUN RD # D
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-8565
Practice Address - Country:US
Practice Address - Phone:502-921-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health