Provider Demographics
NPI:1972012250
Name:KINDNESS HOME HEALTH AID SERVICES CORPORATION
Entity Type:Organization
Organization Name:KINDNESS HOME HEALTH AID SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HHA
Authorized Official - Phone:786-337-0105
Mailing Address - Street 1:8090 W 21ST CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1832
Mailing Address - Country:US
Mailing Address - Phone:786-337-0105
Mailing Address - Fax:
Practice Address - Street 1:8090 W 21ST CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1832
Practice Address - Country:US
Practice Address - Phone:786-337-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health