# KCG HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Concierge Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902360753
- **Authorized official:** CHANTAY CHARISSE GEORGE HOMEMAKER/COMPANION (OWNER)
- **Authorized official phone:** (407) 237-0518

## Contact information

- **Practice address:** 5458 HOFFNER AVE STE 304, ORLANDO, FL 32812-2518
- **Practice address phone:** (407) 237-0518
- **Practice address fax:** (407) 237-0591
- **Mailing address:** 5458 HOFFNER AVE STE 304, ORLANDO, FL 32812-2518
- **Mailing address phone:** (407) 237-0518
- **Mailing address fax:** (407) 237-0591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 01/25/2019