Healthcare Provider Details
I. General information
NPI: 1952220758
Provider Name (Legal Business Name): KIND HEARTS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15612 HIGHWAY 7 STE 233
MINNETONKA MN
55345-3555
US
IV. Provider business mailing address
15612 HIGHWAY 7 STE 233
MINNETONKA MN
55345-3555
US
V. Phone/Fax
- Phone: 612-735-8248
- Fax:
- Phone: 612-735-8248
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NADEJDA
PERZHU
Title or Position: AGENT
Credential:
Phone: 612-735-8248