Kinder Love Home LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-032-405 Issued in NC

Legal business name

KINDER LOVE HOME LLC

Practice address

32 Yorkfield CT
Durham, NC 27713-5444

Phone

(919) 765-5981

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Tametka B Pittman

Title

Executive Director

Phone

(919) 454-7761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1467790568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PENNCROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 YORKFIELD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135444",
            "telephone_number": "919-765-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER LOVE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TAMETKA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-454-7761"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-032-405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Richard Kincaid, M.D.
• Elizabeth Ashley Kincaid
• Lindsey Mikel Kinch, FNP-BC
• Claire Louise Kinchen, DPT
• Kinder Love Home
• Kinder Love Home, Inc
• Kinder Love Homs
• Kindred Nursing Centers East, L.L.C.
• Kindred Therapy PLLC
• Alyssa King, MS, RD, LDN

• Emotionally Disturbed Childrens' Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.