Kindest Care Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

03230501 Issued in PA

Legal business name

KINDEST CARE HEALTHCARE LLC

Practice address

8400 Bustleton Ave
Suite 2
Philadelphia, PA 19152-1918

Phone

(215) 639-4646

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Bola Amon, RN

Title

Director of Nursing Services

Phone

(214) 394-7679

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398104

Legal name

KINDEST CARE HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 30, 2009

Last certification

Dec 29, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 4, 2007 in NJ

Enrollment address

8400 Bustleton Avenue
Suite 2
Philadelphia, PA 19152-1918

Listed as

Kindest Care Healthcare LLCCCN 398104

Ownership

Proprietary

Certified

Jun 30, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kindest Care Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kindest Care Healthcare LLC

  • Home Health Agency
  • Bensalem, PA
  • NPI 1356580393
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1053515445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "214-394-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "215-639-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDEST CARE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "AMON",
        "authorized_official_first_name": "BOLA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING SERVICES",
        "authorized_official_telephone_number": "214-394-7679",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN568664",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "03230501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Patrice Kinateder, RN
• Leigh Erickson Kinczewski, CRNP
• Kind Authentic Therapeutic Initiatives LLC
• Kind Care Homecare LLC
• Carly Ann Kindbom, PA-C
• Caleb Kindle-Parrish, MD
• Kindness & Kare Transportation
• Kindred Hearts, LLP
• Kindred Home Health Services LLC
• Kindred Hospitals East LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.