Provider Demographics
NPI:1376212266
Name:KIND HOME HEALTHCARE
Entity Type:Organization
Organization Name:KIND HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-468-8226
Mailing Address - Street 1:109 W WALNUT PARK UNIT B
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1069
Mailing Address - Country:US
Mailing Address - Phone:617-468-8226
Mailing Address - Fax:617-507-9150
Practice Address - Street 1:109 W WALNUT PARK UNIT B
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1069
Practice Address - Country:US
Practice Address - Phone:617-468-8226
Practice Address - Fax:617-507-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health