Organization Name: | KIND HEARTS SENIOR CARE, LLC |
NPI Number: | 1043557663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROLAND DAVID WHATCOTT (CEO) |
Mailing Address: | 168 North 100 East Suite #207 St George |
State: | UT US |
Postal Code: | 84770 |
Phone Number: | 4352751656 |
Fax Number: | 4352751656 |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2012-PCA-UT000542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |