Provider Demographics
NPI:1922367267
Name:RN4KIDZ, LLC
Entity Type:Organization
Organization Name:RN4KIDZ, LLC
Other - Org Name:RN4KIDZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYMBYATTA
Authorized Official - Middle Name:GASTON
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:678-310-5439
Mailing Address - Street 1:6496 BELLEVUE DR SW
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-4779
Mailing Address - Country:US
Mailing Address - Phone:678-310-5439
Mailing Address - Fax:
Practice Address - Street 1:6496 BELLEVUE DR SW
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-4779
Practice Address - Country:US
Practice Address - Phone:678-310-5439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN140835251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care