Provider Demographics
NPI:1386952406
Name:KINDRED HOME HEALTH CARE INC
Entity type:Organization
Organization Name:KINDRED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:OOMMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-400-4524
Mailing Address - Street 1:7878 FM 35
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-7261
Mailing Address - Country:US
Mailing Address - Phone:214-400-4524
Mailing Address - Fax:
Practice Address - Street 1:7878 FM 35
Practice Address - Street 2:SUITE #103
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-7261
Practice Address - Country:US
Practice Address - Phone:214-400-4524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2015-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health