Provider Demographics
NPI:1417735283
Name:KINDHEARTED HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:KINDHEARTED HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRESCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKWENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-479-5900
Mailing Address - Street 1:14921 DENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3273
Mailing Address - Country:US
Mailing Address - Phone:240-479-5900
Mailing Address - Fax:
Practice Address - Street 1:14921 DENNINGTON DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3273
Practice Address - Country:US
Practice Address - Phone:240-479-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health