MEDICARE: KINDCARE HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1235027046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDCARE HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	131 PALISADE AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-1101
Country	:	US
Telephone Number	:	551-221-5439
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 PALISADE AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-1101
Country	:	US
Telephone Number	:	201-285-7745
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	YASSER ELBAZ
Credential	:
Telephone Number	:	201-285-7745

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	03/12/2026

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