Healthcare Provider Details

I. General information

NPI: 1447067947
Provider Name (Legal Business Name): KIND AND GENTLE CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15814 CHAMPION FOREST DR. SUITE 1203
SPRING TX
77379
US

IV. Provider business mailing address

15814 CHAMPION FOREST DR STE 1203
SPRING TX
77379-7141
US

V. Phone/Fax

Practice location:
  • Phone: 346-771-7598
  • Fax: 713-354-3969
Mailing address:
  • Phone: 713-257-5851
  • Fax: 713-354-3969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: LEKECIA GOLDEN
Title or Position: CEO
Credential:
Phone: 713-257-5851