Individual ProviderKimone McleodLicensed Practical NurseNursing Service ProvidersPractice Address777 County Line Rd Apt 25a, Amityville, NY 11701-1765(631) 816-8827PECOS EnrollmentBased on the most recent information from CMS, provider Kimone Mcleod does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1306262001Provider TypeIndividualFull NameMcleod, KimoneGenderFemaleSole ProprietorYesEnumeration Date3/5/2014Last Updated3/5/2014Contact InformationPractice LocationPractice Address777 County Line Rd Apt 25a, Amityville, NY 11701-1765Phone(631) 816-8827FaxUnlisted FaxMailing LocationMailing Address777 County Line Rd Apt 25a, Amityville, NY 11701-1765PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense313105New York