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
StateLicense IDTaxonomies
NCHC2265251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health