Provider Demographics
NPI:1871854901
Name:KINDER HEALTHCARE INC.
Entity Type:Organization
Organization Name:KINDER HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHROTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-345-3545
Mailing Address - Street 1:542 W CAMDEN LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-2857
Mailing Address - Country:US
Mailing Address - Phone:630-345-3545
Mailing Address - Fax:630-345-3545
Practice Address - Street 1:40 DU PAGE CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-6426
Practice Address - Country:US
Practice Address - Phone:630-345-3545
Practice Address - Fax:630-345-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health