Provider Demographics
NPI: | 1518996404 |
---|---|
Name: | KIND HEARTS HOME HEALTH CARE, INC. |
Entity Type: | Organization |
Organization Name: | KIND HEARTS HOME HEALTH CARE, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OWNER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | DEDRA |
Authorized Official - Middle Name: | BAKER |
Authorized Official - Last Name: | WARMACK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 252-539-2303 |
Mailing Address - Street 1: | 104 SHORT ST. |
Mailing Address - Street 2: | P. O. DRAWER 820 |
Mailing Address - City: | RICH SQUARE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27869 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 252-539-2303 |
Mailing Address - Fax: | 252-539-1005 |
Practice Address - Street 1: | 104 SHORT ST. |
Practice Address - Street 2: | P. O. DRAWER 820 |
Practice Address - City: | RICH SQUARE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27869 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-539-2303 |
Practice Address - Fax: | 252-539-1005 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-07-02 |
Last Update Date: | 2013-03-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | HC2265 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |