Active NPI
Kind Way Community Living Services LLC
Doing business as Kind Way Homes
- Home Health Agency
- New Hope, MN
National Provider Identifier
1184379943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- 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
- Mr. Moses Sarnue Gibson
- Title
- Owner
- Phone
- (415) 531-9296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.