Provider Demographics
NPI:1578314233
Name:KIND HEARTED HOSPICE CARE LLC
Entity Type:Organization
Organization Name:KIND HEARTED HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-258-5063
Mailing Address - Street 1:1201 N RAUL LONGORIA RD STE P
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3728
Mailing Address - Country:US
Mailing Address - Phone:956-258-5063
Mailing Address - Fax:956-258-5066
Practice Address - Street 1:1201 N RAUL LONGORIA RD STE P
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3728
Practice Address - Country:US
Practice Address - Phone:956-258-5063
Practice Address - Fax:956-258-5066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based