Provider Demographics
NPI:1437740925
Name:KIND HEARTED HOME HEALTH
Entity Type:Organization
Organization Name:KIND HEARTED HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-201-7344
Mailing Address - Street 1:5657 WILSHIRE BLVD STE 460
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3741
Mailing Address - Country:US
Mailing Address - Phone:747-201-7344
Mailing Address - Fax:747-201-7343
Practice Address - Street 1:5657 WILSHIRE BLVD STE 460
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3741
Practice Address - Country:US
Practice Address - Phone:747-201-7344
Practice Address - Fax:747-201-7343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based