Provider Demographics
NPI:1265438030
Name:KINDSTAR, INC.
Entity type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:225 W MULBERRY ST
Mailing Address - Street 2:SUITE 102 ATTN MECCA
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-0805
Mailing Address - Country:US
Mailing Address - Phone:402-202-0749
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:225 W MULBERRY ST STE 102
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6011
Practice Address - Country:US
Practice Address - Phone:940-891-1161
Practice Address - Fax:940-891-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008395251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161082602Medicaid
TX679325Medicare Oscar/Certification
TX161082602Medicaid