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General NPI Number Information
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NPI Number | 1518598168
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Entity Type | Organization
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Legal Business Name | KYNDER HOME HEALTH AGENCY
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 3920 VIA DEL REY STE 4
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7594
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Country | US
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Telephone | 239-676-0587
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Fax | 239-676-0595
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Provider Business Mailing Address
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Address Line | 3920 VIA DEL REY STE 4
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7594
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Country | US
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Telephone | 239-676-0587
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Fax | 239-676-0595
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Authorized Official
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Title or Position | OWNER
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Name | MATEO MARTINEZ
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Credential |
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Telephone | 954-993-6299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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