Healthcare Provider Details

I. General information

NPI: 1376459289
Provider Name (Legal Business Name): KIND HEART INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 WILLOW PASS RD STE 600
CONCORD CA
94520-5292
US

IV. Provider business mailing address

1320 WILLOW PASS RD STE 600
CONCORD CA
94520-5292
US

V. Phone/Fax

Practice location:
  • Phone: 925-744-0000
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. MICHAEL VINCENT LAT CAMPOS
Title or Position: CFO
Credential:
Phone: 510-366-5287