Provider Demographics
NPI:1326082744
Name:KINDSTAR, INC.
Entity Type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:ACCOLADE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-220-2074
Mailing Address - Street 1:225 W MULBERRY ST
Mailing Address - Street 2:SUITE 102 ATTN MECCA
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-0805
Mailing Address - Country:US
Mailing Address - Phone:940-220-2074
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:1111 N INTERSTATE 35 (NWB)
Practice Address - Street 2:SUITE 204
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-238-6000
Practice Address - Fax:512-238-9559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9343251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
45Q7821001Medicare Oscar/Certification