Healthcare Provider Details

I. General information

NPI: 1942127915
Provider Name (Legal Business Name): KINSHIP HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3703B SUMMERVILLE RD
PHENIX CITY AL
36867-2632
US

IV. Provider business mailing address

1711 E OGLETHORPE BLVD
ALBANY GA
31705-2930
US

V. Phone/Fax

Practice location:
  • Phone: 229-444-8866
  • Fax:
Mailing address:
  • Phone: 229-444-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID LEE SAMPSON
Title or Position: CEO
Credential:
Phone: 229-444-8866