Provider Demographics
NPI:1083183156
Name:KIND HEARTS CARING ANGELS STAFFING AGENCY INC
Entity Type:Organization
Organization Name:KIND HEARTS CARING ANGELS STAFFING AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBALIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON-BORRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:917-628-4482
Mailing Address - Street 1:1095 STATE ROUTE 32
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-2403
Mailing Address - Country:US
Mailing Address - Phone:917-628-4482
Mailing Address - Fax:845-775-4384
Practice Address - Street 1:210 E MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4038
Practice Address - Country:US
Practice Address - Phone:845-775-4289
Practice Address - Fax:845-775-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care