Provider Demographics
NPI:1841504065
Name:KYNDAL HOME HEALTH CARE INC
Entity type:Organization
Organization Name:KYNDAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION BUSINESS MANAGER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-774-4448
Mailing Address - Street 1:PO BOX 16762
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38186-0762
Mailing Address - Country:US
Mailing Address - Phone:901-774-4448
Mailing Address - Fax:901-774-4467
Practice Address - Street 1:2264 S LAUDERDALE ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38106-7566
Practice Address - Country:US
Practice Address - Phone:901-774-4448
Practice Address - Fax:901-248-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000017824251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health