Kindred Life Ministries Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KINDRED LIFE MINISTRIES INC

Practice address

1319 N Hunt Club Rd
Gurnee, IL 60031-2442

Phone

(847) 250-7503

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eliza Labelle

Title

Executive Director

Phone

(847) 250-7503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1861211245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600300853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N HUNT CLUB RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312442",
            "telephone_number": "847-250-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED LIFE MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "LABELLE",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-250-7503"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elizabeth Kholodovsky
• Tina Khoury, DMD
• Stephanie Kim, LSW
• Patricia K Kimbel, PSY.D.
• Teericka Kimbrough, LCSW
• Everett P Kirch, MD
• Rene Louise Kirklin
• Philip C. Kirschbaum, LCSW
• Lisa Klaber
• Lynn M Klatt, LPT

• Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.