Kincare Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINCARE HOME CARE AGENCY LLC

Practice address

56 Sunglo Dr
Leesport, PA 19533-8672

Phone

(484) 750-5092

Fax

(484) 214-1360

NPI assigned

Aug 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randers Rodriguez

Title

President

Phone

(484) 436-2823

Specialties & licenses 1

Addresses

Tax ID family

Kincare Home Care Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kincare Home Care Agency LLC

  • In Home Supportive Care Agency
  • Leesport, PA
  • NPI 1528749280
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1992538201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SUNGLO DR",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338672",
            "telephone_number": "484-750-5092",
            "fax_number": "484-214-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SUNGLO DR",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338672",
            "telephone_number": "484-750-5092",
            "fax_number": "484-214-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINCARE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RANDERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-436-2823"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanna Jane Houck, MS CCC-SLP
• Integrated Surgical Institute, LLC
• Sylvia Joseph, PA-C
• Michele Katzenmoyer
• Kincare Home Care Agency LLC
• Jesse Thomas Kirsch, PA-C
• Jennifer Klikus, MSOTR/L
• Darren T Koch, D.C.
• Ricki Koch, COTA/L
• Nathaniel James Kosalek, PTA

• Home Health Agency in Leesport, PA
• Providers in Leesport, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.