Healthcare Provider Details

I. General information

NPI: 1578467700
Provider Name (Legal Business Name): KIND HEARTS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SHORT ST.
RICH SQUARE NC
27869
US

IV. Provider business mailing address

PO BOX 10
RICH SQUARE NC
27869-0010
US

V. Phone/Fax

Practice location:
  • Phone: 252-214-2564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUMMER TAYLOR
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 252-214-2564