Healthcare Provider Details

I. General information

NPI: 1306777974
Provider Name (Legal Business Name): KINDRED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WENDY CT
JACKSON NJ
08527-1154
US

IV. Provider business mailing address

18 WENDY CT
JACKSON NJ
08527-1154
US

V. Phone/Fax

Practice location:
  • Phone: 732-882-6081
  • Fax:
Mailing address:
  • Phone: 732-882-6081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANA WEINGARDEN
Title or Position: PARTNER
Credential:
Phone: 732-882-6081