Provider Demographics
NPI:1386303840
Name:KIND HEARTS HOMECARE LLC
Entity type:Organization
Organization Name:KIND HEARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWO
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:402-541-4496
Mailing Address - Street 1:8027 N 173RD ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-5813
Mailing Address - Country:US
Mailing Address - Phone:402-541-4496
Mailing Address - Fax:
Practice Address - Street 1:8027 N 173RD ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-5813
Practice Address - Country:US
Practice Address - Phone:402-541-4496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health