Organization Active NPI

Kind Way Community Living Services LLC

Doing business as Kind Way Homes

  • Home Health Agency
  • New Hope, MN
National Provider Identifier
1184379943
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KIND WAY COMMUNITY LIVING SERVICES LLC
Doing business as
Kind Way Homes
Practice address
5336 Quebec Ave N
New Hope, MN 55428-3832
Phone
(415) 531-9296
NPI assigned
Feb 19, 2022
Last updated
Feb 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Authorized official

Name
Mr. Moses Sarnue Gibson
Title
Owner
Phone
(415) 531-9296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5336 Quebec Ave N
New Hope, MN 55428-3832

Mailing address

5336 Quebec Ave N
New Hope, MN 55428-3832
Phone (415) 531-9296

Other names 1

  • Kind Way Homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1184379943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 QUEBEC AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283832",
            "telephone_number": "415-531-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 QUEBEC AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283832",
            "telephone_number": "415-531-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND WAY COMMUNITY LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "SARNUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-531-9296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kind Way Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.