Provider Demographics
NPI:1477119188
Name:KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC
Entity Type:Organization
Organization Name:KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC
Other - Org Name:KLS RN HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:NATTALIE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:914-316-1598
Mailing Address - Street 1:173 HUGUENOT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7710
Mailing Address - Country:US
Mailing Address - Phone:914-661-3797
Mailing Address - Fax:914-732-9885
Practice Address - Street 1:173 HUGUENOT ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7710
Practice Address - Country:US
Practice Address - Phone:914-661-3797
Practice Address - Fax:914-661-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health