Provider Demographics
NPI:1669473757
Name:KINDSTAR, INC.
Entity Type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:TEXAS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:225 W MULBERRY ST STE 102
Mailing Address - Street 2:ATTN MECCA
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6011
Mailing Address - Country:US
Mailing Address - Phone:940-220-2074
Mailing Address - Fax:844-595-5182
Practice Address - Street 1:4801 NW LOOP 410 #115
Practice Address - Street 2:ATTN: SAA
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5342
Practice Address - Country:US
Practice Address - Phone:210-928-8194
Practice Address - Fax:210-928-8197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10681251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX361691401Medicaid
TX677112Medicare ID - Type UnspecifiedMEDICARE LICENSE
TX361691401Medicaid