Provider Demographics
NPI:1508249657
Name:KIND ACTS LLC
Entity Type:Organization
Organization Name:KIND ACTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-807-9453
Mailing Address - Street 1:165 N OLD ORCHARD LN APT 812
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3454
Mailing Address - Country:US
Mailing Address - Phone:816-807-9453
Mailing Address - Fax:
Practice Address - Street 1:165 N OLD ORCHARD LN APT 812
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3454
Practice Address - Country:US
Practice Address - Phone:816-807-9453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health