Kind Heart Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KIND HEART INC

Practice address

2896 Lianne St
Idaho Falls, ID 83402-5638

Phone

(208) 523-9119

Fax

(855) 529-3924

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Diana R Davis

Title

President

Phone

(208) 523-9119

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1770043689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 LIANNE ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025638",
            "telephone_number": "208-523-9119",
            "fax_number": "855-529-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 LIANNE ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025638",
            "telephone_number": "208-523-9119",
            "fax_number": "855-529-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-9119"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190840007",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kid Connections, Inc
• Ryan T Kidman, DDS
• Shania Marie Killian Skanch
• Joshua D Killpack, PA-C
• Weston Dean Killpack
• Cassidy King
• Evan King
• James Albert King, MS, OTR/L
• Kenneth William King Jr., O.D.
• Kimberly King, FNTP

• In Home Supportive Care Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.