Provider Demographics
NPI:1699268235
Name:KIND HEART HOME CARE LLC
Entity type:Organization
Organization Name:KIND HEART HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDERLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-849-4644
Mailing Address - Street 1:PO BOX 3070
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34692-0070
Mailing Address - Country:US
Mailing Address - Phone:866-849-4644
Mailing Address - Fax:866-419-9422
Practice Address - Street 1:5006 TROUBLE CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4937
Practice Address - Country:US
Practice Address - Phone:866-849-4644
Practice Address - Fax:866-419-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care