Provider Demographics
NPI:1710095021
Name:KINDSTAR, INC.
Entity Type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:ACCENTCARE HOME HEALTH OF WOODWARD
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 1:2728 WILLIAMS AVE BLD K101 SUITE U/V
Practice Address - Street 2:ATTN: GUY
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-5853
Practice Address - Country:US
Practice Address - Phone:580-254-0072
Practice Address - Fax:580-254-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7836251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200259410AMedicaid
OK200259410AMedicaid