Provider Demographics
NPI: | 1992746390 |
---|---|
Name: | KINDSTAR, INC. |
Entity type: | Organization |
Organization Name: | KINDSTAR, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | AO/SECRETARY |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DENA |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | SCHWARTZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 972-201-3819 |
Mailing Address - Street 1: | PO BOX 50805 |
Mailing Address - Street 2: | |
Mailing Address - City: | DENTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76206-0805 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 940-380-0311 |
Mailing Address - Fax: | 940-380-9605 |
Practice Address - Street 1: | 225 W MULBERRY ST |
Practice Address - Street 2: | |
Practice Address - City: | DENTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76201-6011 |
Practice Address - Country: | US |
Practice Address - Phone: | 940-220-2074 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-09 |
Last Update Date: | 2020-03-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 8395 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 67Q9325002 | Medicare Oscar/Certification |