Provider Demographics
NPI:1932074275
Name:KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY
Entity type:Organization
Organization Name:KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KADIAN
Authorized Official - Middle Name:TESHAGAY
Authorized Official - Last Name:FACEY-MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-739-7339
Mailing Address - Street 1:44 RUTH CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6623
Mailing Address - Country:US
Mailing Address - Phone:678-739-7339
Mailing Address - Fax:
Practice Address - Street 1:44 RUTH CT
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-6623
Practice Address - Country:US
Practice Address - Phone:678-739-7339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIND HANDS LOVING HEART UNIQUE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health