MEDICARE: KIND CAREGIVERS AT HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003602293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIND CAREGIVERS AT HOME

Provider Business Mailing Address
First Line	:	11843 W NADINE WAY
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-4522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11843 W NADINE WAY
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-4522
Country	:	US
Telephone Number	:	623-471-7507
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARAH LA-NGUYEN
Credential	:
Telephone Number	:	206-902-0465

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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Directions to “KIND CAREGIVERS AT HOME ” Practice Location

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