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General NPI Number Information
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NPI Number | 1255297487
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Entity Type | Organization
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Legal Business Name | KINDKIN CARE LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 515 CENTERPOINT DR
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City | MIDDLETOWN
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State | CT
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Zip | 06457-7570
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Country | US
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Telephone | 203-658-4665
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Fax | 203-658-4665
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Provider Business Mailing Address
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Address Line | 15 ARDMORE ST
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City | FAIRFIELD
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State | CT
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Zip | 06824-6127
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Country | US
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Telephone | 203-658-4665
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Fax | 203-658-4665
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MWANSA MWILWA
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Credential |
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Telephone | 203-658-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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