Provider Demographics
NPI:1124710512
Name:KIND PRIMARY HOME CARE, LLC.
Entity type:Organization
Organization Name:KIND PRIMARY HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:EMILIA
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-445-3527
Mailing Address - Street 1:7220 W EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9526
Mailing Address - Country:US
Mailing Address - Phone:956-445-3527
Mailing Address - Fax:956-581-0697
Practice Address - Street 1:7220 W EXPRESSWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9526
Practice Address - Country:US
Practice Address - Phone:956-445-3527
Practice Address - Fax:956-581-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty