Organization Active NPI

Kyndal Home Health Care Inc

  • Preferred Provider Organization
  • Memphis, TN
National Provider Identifier
1396105490
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
L000000017824 Issued in TN
Legal business name
KYNDAL HOME HEALTH CARE INC
Practice address
2264 S Lauderdale St
Memphis, TN 38106-7566
Phone
(901) 774-4448
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. Larry Hardaway Sr.
Title
Ceo/Owner
Phone
(901) 774-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X L000000017824 TN Primary

Addresses

Primary practice location

2264 S Lauderdale St
Memphis, TN 38106-7566

Mailing address

2264 S Lauderdale St
Memphis, TN 38106-7566

National Provider Directory

National Provider Directory
Tax ID family
Kyndal Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2264 S Lauderdale St
Memphis, TN 38106
Phone (901) 774-4448

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1396105490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 S LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381067566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 S LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381067566",
            "telephone_number": "901-774-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNDAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "901-774-4448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "L000000017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.