Healthcare Provider Details

I. General information

NPI: 1154898807
Provider Name (Legal Business Name): KIND HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 OLD WILLIAM PENN HWY
MONROEVILLE PA
15146-1480
US

IV. Provider business mailing address

560 IDLEWOOD RD
PITTSBURGH PA
15235-3823
US

V. Phone/Fax

Practice location:
  • Phone: 412-908-3930
  • Fax:
Mailing address:
  • Phone: 412-512-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: KEIONNA TAYLOR
Title or Position: CO-OWNER
Credential: RN
Phone: 412-512-0286