Provider Demographics
NPI:1366731507
Name:KINDER CARE, INC.
Entity type:Organization
Organization Name:KINDER CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KLINKHAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-261-3246
Mailing Address - Street 1:4713 36TH AVE N
Mailing Address - Street 2:
Mailing Address - City:REILES ACRES
Mailing Address - State:ND
Mailing Address - Zip Code:58102-5434
Mailing Address - Country:US
Mailing Address - Phone:701-281-1952
Mailing Address - Fax:
Practice Address - Street 1:2100 MAIN AVE E
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-2225
Practice Address - Country:US
Practice Address - Phone:701-261-3246
Practice Address - Fax:701-281-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care