Healthcare Provider Details

I. General information

NPI: 1003799164
Provider Name (Legal Business Name): KINDCREST CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 E 26TH ST
BROOKLYN NY
11226-7103
US

IV. Provider business mailing address

327 E 26TH ST
BROOKLYN NY
11226-7103
US

V. Phone/Fax

Practice location:
  • Phone: 347-220-3829
  • Fax:
Mailing address:
  • Phone: 347-220-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ANISUR RAHMAN
Title or Position: CO-FOUNDER
Credential:
Phone: 347-220-3829