Kind Hearts Care Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIND HEARTS CARE SERVICES LLC

Practice address

7672 W Betty Elyse LN
Peoria, AZ 85382-3835

Phone

(480) 430-8622

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Kenneth Katongole

Title

C.E.O

Phone

(480) 430-8622

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1447934005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7672 W BETTY ELYSE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823835",
            "telephone_number": "480-430-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7672 W BETTY ELYSE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823835",
            "telephone_number": "480-430-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEARTS CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KATONGOLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "480-430-8622"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Cheol Kim, MD
• Kimberly D Nielsen, PLLC
• Chakeela Kimble, OTR/L
• Alesha Ann Kimbrell, MS, BCBA, LBA
• Kind Caregivers at Home
• Jana Dee King, FNP-C
• Kelsie King
• Michael Adam King, DPT
• Kingsley Healthcare and Social Services LLC
• Kingsway Health Services LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.