Organization Active NPI

Kindred Hearts LLC

Doing business as Kindred Hearts of Arkansas

  • Home Health Aide
  • West Memphis, AR
National Provider Identifier
1740871789
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
KINDRED HEARTS LLC
Doing business as
Kindred Hearts of Arkansas
Practice address
309 N 6TH St Ste 3&4
West Memphis, AR 72301-3204
Phone
(901) 825-8721
NPI assigned
Feb 2, 2021
Last updated
Feb 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Kedavion Taylor
Title
Owner
Phone
(870) 551-4161

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Adult Day Care Clinic/Center 261QA0600X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

309 N 6TH St Ste 3&4
West Memphis, AR 72301-3204

Mailing address

309 N 6TH St Ste 3&4
West Memphis, AR 72301-3204
Phone (870) 551-4161

Other names 1

  • Kindred Hearts of Arkansas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1740871789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N 6TH ST STE 3&4",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013204",
            "telephone_number": "870-551-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N 6TH ST STE 3&4",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013204",
            "telephone_number": "901-825-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEDAVION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-551-4161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hearts of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hearts of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.