Provider Demographics
NPI:1417991837
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:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-380-0311
Mailing Address - Street 1:PO BOX 50805
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0805
Mailing Address - Country:US
Mailing Address - Phone:940-380-0311
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:211 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHAMROCK
Practice Address - State:TX
Practice Address - Zip Code:79079-2227
Practice Address - Country:US
Practice Address - Phone:806-256-1100
Practice Address - Fax:806-256-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8662251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45Q7754003Medicare Oscar/Certification
TX45Q7754003Medicare ID - Type UnspecifiedBRANCH ID