Healthcare Provider Details

I. General information

NPI: 1780206870
Provider Name (Legal Business Name): KIND ANGELS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21510 GRAND HOLLOW LN
KATY TX
77450-8808
US

IV. Provider business mailing address

21510 GRAND HOLLOW LN
KATY TX
77450-8808
US

V. Phone/Fax

Practice location:
  • Phone: 502-803-1129
  • Fax:
Mailing address:
  • Phone: 502-803-1129
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STELLA NAJEME
Title or Position: NURSING SUPERVISOR
Credential: RN
Phone: 502-803-1129