Provider Demographics
NPI:1083082267
Name:KIND HANDS CARE AT HOME, LLC
Entity Type:Organization
Organization Name:KIND HANDS CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCILA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-525-3800
Mailing Address - Street 1:280 N MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1868
Mailing Address - Country:US
Mailing Address - Phone:413-525-3800
Mailing Address - Fax:413-525-3802
Practice Address - Street 1:280 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1868
Practice Address - Country:US
Practice Address - Phone:413-525-3800
Practice Address - Fax:413-525-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR03610253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care