Provider Demographics
NPI:1790569333
Name:KINFOLK HOME CARE LLC
Entity Type:Organization
Organization Name:KINFOLK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER / CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-880-8176
Mailing Address - Street 1:2534 CAMINO ESTRIBO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5813
Mailing Address - Country:US
Mailing Address - Phone:760-880-8176
Mailing Address - Fax:
Practice Address - Street 1:2534 CAMINO ESTRIBO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5813
Practice Address - Country:US
Practice Address - Phone:760-880-8176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care