Kind Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KIND HOME HEALTHCARE

Practice address

109 W Walnut Park Unit B
Roxbury, MA 02119-1069

Phone

(617) 468-8226

Fax

(617) 507-9150

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Anis Abdulle

Title

Administrator

Phone

(617) 468-8226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227759

Legal name

KIND HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 2023

Last certification

Feb 23, 2023

Organization structure

LLCProprietary

Enrollment address

109 W Walnut Park
Unit B
Roxbury, MA 02119-1069

Listed as

Kind Home HealthcareCCN 227759

Ownership

-

Certified

Mar 10, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1376212266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W WALNUT PARK UNIT B",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191069",
            "telephone_number": "617-468-8226",
            "fax_number": "617-507-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WALNUT PARK UNIT B",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191069",
            "telephone_number": "617-468-8226",
            "fax_number": "617-507-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-468-8226"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sobia Khokhar, BA, MSM
• Talar Kiladjian, DMD
• Kyva Killebrew
• Aina Maria Kim
• Jungkeun Kim
• Monica King
• Dounai C Kirwan
• Anandita Kishore, MD
• Maryrose Kline
• Gianna Marie Knapp

• Home Health Agency in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.