NPIMap

Organization Active NPI

Kind Heart Home Health Care, LLC

  • Adult Care Home Facility
  • Colorado Springs, CO
National Provider Identifier
1902159668
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
04K999 Issued in CO
Legal business name
KIND HEART HOME HEALTH CARE, LLC
Practice address
4925 Turquoise Cir
Colorado Springs, CO 80917-1213
Phone
(719) 622-1708
Fax
(719) 597-5170
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mrs. Elisa Leake
Title
President
Phone
(719) 622-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 04K999 CO Primary

Addresses

Primary practice location

4925 Turquoise Cir
Colorado Springs, CO 80917-1213

Mailing address

4925 Turquoise Cir
Colorado Springs, CO 80917
Phone (719) 622-1708

Other identifiers 1

IdentifierTypeStateIssuer
64403572MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Kind Heart Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1902159668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 TURQUOISE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917",
            "telephone_number": "719-622-1708",
            "fax_number": "719-597-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 TURQUOISE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171213",
            "telephone_number": "719-622-1708",
            "fax_number": "719-597-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEART HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-622-1708",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "04K999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64403572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.