Provider Demographics
NPI:1932139185
Name:KIND HEART HOME HEALTH, INC.
Entity type:Organization
Organization Name:KIND HEART HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:UZO
Authorized Official - Middle Name:ANYNEYBU
Authorized Official - Last Name:UZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-660-1106
Mailing Address - Street 1:10925 ESTATE LANE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238
Mailing Address - Country:US
Mailing Address - Phone:214-660-1106
Mailing Address - Fax:214-660-1601
Practice Address - Street 1:10925 ESTATE LANE
Practice Address - Street 2:SUITE 240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238
Practice Address - Country:US
Practice Address - Phone:214-660-1106
Practice Address - Fax:214-660-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009065251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457885Medicare Oscar/Certification