Healthcare Provider Details

I. General information

NPI: 1881639854
Provider Name (Legal Business Name): KINDSTAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 05/16/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 50TH (HH) (JAY)
LUBBOCK TX
79413
US

IV. Provider business mailing address

225 W MULBERRY ST STE102 ATTN MECCA
DENTON TX
76201-6011
US

V. Phone/Fax

Practice location:
  • Phone: 806-791-2100
  • Fax: 806-791-2105
Mailing address:
  • Phone: 940-220-2074
  • Fax: 844-595-5182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9402
License Number StateTX

VIII. Authorized Official

Name: DENA SCHWARTZ
Title or Position: SECRETARY
Credential:
Phone: 972-201-3819