Kindred Community Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINDRED COMMUNITY SERVICES, LLC

Practice address

2210 Executive Dr Ste C
Hampton, VA 23666-6605

Phone

(757) 964-7641

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Nikki Garner-Dancy

Title

Ceo

Phone

(757) 964-7641

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1265104665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 EXECUTIVE DR STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666605",
            "telephone_number": "757-964-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 EXECUTIVE DR STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666605",
            "telephone_number": "757-964-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "GARNER-DANCY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-964-7641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myung Woong Kim, MD
• Un Chong Kim, NP
• Bonita Croom Kimbrew, LCSW
• Robin J Kimmeth, N.P.
• Bradley R Kincaid, MD, MS
• Jamie Leigh King, M.D.
• Joshua Nathaniel King Sr.
• Kenneth Raymond King, M.D.
• Monique King
• Tamara Lynn King, LPC

• Home Health Agency in Hampton, VA
• Providers in Hampton, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.