Provider Demographics
NPI:1316516131
Name:KINDNESS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:KINDNESS HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARSHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-320-3005
Mailing Address - Street 1:2457 ERIE LN NW
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-9067
Mailing Address - Country:US
Mailing Address - Phone:601-320-3005
Mailing Address - Fax:601-990-2226
Practice Address - Street 1:2457 ERIE LN NW
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-9067
Practice Address - Country:US
Practice Address - Phone:601-320-3005
Practice Address - Fax:601-990-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health