Provider Demographics
NPI:1003632324
Name:KIND KEEPERS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:KIND KEEPERS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALPHONSO
Authorized Official - Middle Name:BRNDON
Authorized Official - Last Name:SEKE-HORTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-781-2657
Mailing Address - Street 1:1401 ELM ST APT 2210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-2900
Mailing Address - Country:US
Mailing Address - Phone:610-781-2657
Mailing Address - Fax:
Practice Address - Street 1:1401 ELM ST APT 2210
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-2900
Practice Address - Country:US
Practice Address - Phone:610-781-2657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty