Provider Demographics
NPI:1518598168
Name:KYNDER HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:KYNDER HOME HEALTH AGENCY
Other - Org Name:MIND & MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATEO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-6299
Mailing Address - Street 1:3920 VIA DEL REY STE 4
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7594
Mailing Address - Country:US
Mailing Address - Phone:239-676-0587
Mailing Address - Fax:239-676-0595
Practice Address - Street 1:3920 VIA DEL REY STE 4
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7594
Practice Address - Country:US
Practice Address - Phone:239-676-0587
Practice Address - Fax:239-676-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health