Healthcare Provider Details

I. General information

NPI: 1497619159
Provider Name (Legal Business Name): KINDQUEST SUPPORTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 BOAS ST APT 315
HARRISBURG PA
17102-1335
US

IV. Provider business mailing address

2225 SYCAMORE ST
HARRISBURG PA
17111-1026
US

V. Phone/Fax

Practice location:
  • Phone: 717-740-8496
  • Fax:
Mailing address:
  • Phone: 717-740-8496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DARE JOHN A ODUBOTE
Title or Position: CEO
Credential:
Phone: 724-422-0020