Provider Demographics
NPI:1376137026
Name:KIND HEART HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:KIND HEART HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:OPEOLU
Authorized Official - Last Name:AYEDUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-246-2115
Mailing Address - Street 1:488 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-4989
Mailing Address - Country:US
Mailing Address - Phone:973-246-2115
Mailing Address - Fax:
Practice Address - Street 1:488 S 19TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-4989
Practice Address - Country:US
Practice Address - Phone:973-246-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health