Active NPI
Kind Home Care, LLC
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1053092239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.