Provider Demographics
NPI:1700987971
Name:KINDNESS-CARE HOME HEALTH
Entity Type:Organization
Organization Name:KINDNESS-CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS/ADM/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATORIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-543-3888
Mailing Address - Street 1:3176 PULLMAN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3317
Mailing Address - Country:US
Mailing Address - Phone:714-543-3888
Mailing Address - Fax:714-541-3888
Practice Address - Street 1:3176 PULLMAN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3317
Practice Address - Country:US
Practice Address - Phone:714-543-3888
Practice Address - Fax:714-541-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060000482251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058438Medicare Oscar/Certification