MEDICARE: KIND HORIZONS

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1922957372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIND HORIZONS

Provider Business Mailing Address
First Line	:	3927 W WILLOW HWY
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-2148
Country	:	US
Telephone Number	:	616-516-0095
Fax Number	:	616-516-0095

Provider Business Practice Location Address
First Line	:	3927 W WILLOW HWY
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-2148
Country	:	US
Telephone Number	:	616-516-0095
Fax Number	:	616-516-0095

Authorized Official
Title or Position	:	LICENSEE
Name	:	INKOSINATI RASSEL KHAKA
Credential	:	KHAKA
Telephone Number	:	616-516-0095

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “KIND HORIZONS ” Practice Location

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