Provider Demographics
NPI:1578691796
Name:KINDSTAR, INC.
Entity Type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:ACCOLADE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-380-0311
Mailing Address - Street 1:PO BOX 50805
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0805
Mailing Address - Country:US
Mailing Address - Phone:940-380-0311
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:510 ASH ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-8018
Practice Address - Country:US
Practice Address - Phone:806-293-2990
Practice Address - Fax:806-293-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
67Q9485005Medicare Oscar/Certification