Kind Hearts Care Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KIND HEARTS CARE HOME LLC

Practice address

386 Severn CT
Henderson, NV 89002-8126

Phone

(702) 629-3594

Fax

(702) 975-9875

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Glenn Quibal

Title

Owner Operator

Phone

(702) 491-4887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1881465938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 SEVERN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890028126",
            "telephone_number": "702-629-3594",
            "fax_number": "702-975-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 SEVERN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890028126",
            "telephone_number": "702-629-3594",
            "fax_number": "702-975-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEARTS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "QUIBAL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "702-491-4887"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.