Organization Active NPI

Kind Home Care, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1053092239
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KIND HOME CARE, LLC
Practice address
4625 Lindell Blvd Ste 324
Saint Louis, MO 63108-3725
Phone
(161) 541-9311
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shna Fathullah
Title
President
Phone
(314) 485-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4625 Lindell Blvd Ste 324
Saint Louis, MO 63108-3725

Mailing address

4625 Lindell Blvd Ste 200
Saint Louis, MO 63108-3725
Phone (161) 541-9311

National Provider Directory

National Provider Directory

Locations

4625 Lindell Blvd
Ste 324
Saint Louis, MO 63108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1053092239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "161-541-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD STE 324",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "161-541-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A",
        "authorized_official_last_name": "FATHULLAH",
        "authorized_official_first_name": "SHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-485-7061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.