Provider Demographics
NPI:1023356896
Name:KINDRED SPIRITS HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:KINDRED SPIRITS HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DREWELOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-220-0897
Mailing Address - Street 1:611 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CENTURIA
Mailing Address - State:WI
Mailing Address - Zip Code:54020
Mailing Address - Country:US
Mailing Address - Phone:715-220-0897
Mailing Address - Fax:
Practice Address - Street 1:611 4TH ST
Practice Address - Street 2:
Practice Address - City:CENTURIA
Practice Address - State:WI
Practice Address - Zip Code:54824-9032
Practice Address - Country:US
Practice Address - Phone:715-220-0897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home