KINCARE HOME CARE AGENCY LLC
NPI 1992538201
Home Health in Leesport, PA

Active since August 22, 2024CLIA 39D2316411 · Waiver
56 SUNGLO DR, LEESPORT, PA 19533(484) 750-5092(484) 214-1360 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kincare Home Care Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINCARE HOME CARE AGENCY LLC (NPI 1992538201) is a healthcare organization registered as a home health in Leesport, Pennsylvania and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Randers Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1992538201
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameKINCARE HOME CARE AGENCY LLC
Location Address56 SUNGLO DRLeesport, PA 19533-8672
Mailing Address56 Sunglo DrLeesport, PA 19533-8672 · (484) 750-5092 · Fax (484) 214-1360
Fax(484) 214-1360
Organization SubpartNo
Authorized OfficialRanders RodriguezPresident · (484) 436-2823
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
NPI 1992538201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
56 SUNGLO DR, Leesport, PA 19533

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2316411

Kincare Home Care Agency LLC · Leesport, PA
Active · expires Jan 5, 2027
CLIA Number39D2316411
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorAngelina Menard
Laboratory Phone(484) 750-5092
Laboratory LocationKincare Home Care Agency LLC56 Sunglo Dr, Leesport, PA 19533
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
56 SUNGLO DR
LEESPORT, PA 19533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kincare Home Care Agency LLC's NPI number?

The NPI number for Kincare Home Care Agency LLC is 1992538201. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Kincare Home Care Agency LLC located?

Kincare Home Care Agency LLC is located at 56 Sunglo Dr, Leesport, PA 19533. The listed phone number is (484) 750-5092.

What is Kincare Home Care Agency LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Kincare Home Care Agency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2316411) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kincare Home Care Agency LLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.