Kindly Care Resident LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KINDLY CARE RESIDENT LLC

Practice address

605 Whitall St
Saint Paul, MN 55130-4155

Phone

(651) 855-8437

NPI assigned

May 25, 2020

Last updated

May 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dotoo Kedir Nebi

Title

Owner

Phone

(651) 855-8437

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1124641196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WHITALL ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304155",
            "telephone_number": "651-855-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WHITALL ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304155",
            "telephone_number": "651-855-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDLY CARE RESIDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "NEBI",
        "authorized_official_first_name": "DOTOO",
        "authorized_official_middle_name": "KEDIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-855-8437"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loreen L Kimble, CNNP
• Carlton Ross Kimmerle, MD
• Ross I Kimmerle, MD
• Nancy Kimmes
• Bradley Lee Kinder, M.A., L.P., L.M.F.T.
• Kindred Consultation LLC
• Kindreds Calling and Therapy Services LLC
• Kindure Care LLC
• Wosenyelesh Kinfu
• Melissa B King-Biggs, MD

• Assisted Living Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.