Provider Demographics
NPI:1629693742
Name:KIND HEARTS HOSPICE LLC
Entity Type:Organization
Organization Name:KIND HEARTS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WASEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SMIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-344-2036
Mailing Address - Street 1:5911 RENAISSANCE PL STE B
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4727
Mailing Address - Country:US
Mailing Address - Phone:419-930-5840
Mailing Address - Fax:419-930-5835
Practice Address - Street 1:5911 RENAISSANCE PL STE B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4727
Practice Address - Country:US
Practice Address - Phone:419-930-5840
Practice Address - Fax:419-930-5835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0438085Medicaid