MEDICARE: BE KIND SENIOR CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WH1000X	Hospice Registered Nurse
2	163WD1100X	Peritoneal Dialysis Registered Nurse
3	163WH0200X	Home Health Registered Nurse
4	163WD0400X	Diabetes Educator Registered Nurse
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255262903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE KIND SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	2345 VIA INSPIRADA STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1849
Country	:	US
Telephone Number	:	702-972-0915
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 EXECUTIVE TERMINAL DR STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4269
Country	:	US
Telephone Number	:	702-514-6788
Fax Number	:	708-514-6775

Authorized Official
Title or Position	:	OWNER
Name	:	DONNA SIMS
Credential	:
Telephone Number	:	702-972-0915

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	06/02/2026

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Directions to “BE KIND SENIOR CARE LLC ” Practice Location

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