Provider Demographics
NPI:1467741900
Name:KINDRED HEARTS, LLP
Entity Type:Organization
Organization Name:KINDRED HEARTS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CO-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MIKALL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-847-9120
Mailing Address - Street 1:759 S 15TH ST
Mailing Address - Street 2:APT #1-A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2238
Mailing Address - Country:US
Mailing Address - Phone:215-847-9120
Mailing Address - Fax:
Practice Address - Street 1:759 S 15TH ST
Practice Address - Street 2:APT #1-A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-2238
Practice Address - Country:US
Practice Address - Phone:215-847-9120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4009113251E00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No347E00000XTransportation ServicesTransportation Broker