MEDICARE: KIND LOVING CARE, LLC

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	017108	TX

General Provider Information

NPI Number	:	1134477938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIND LOVING CARE, LLC

Provider Business Mailing Address
First Line	:	1400 W MAYFIELD RD
Second Line	:	BLDG 350
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2371
Country	:	US
Telephone Number	:	877-509-7700
Fax Number	:	877-330-2606

Provider Business Practice Location Address
First Line	:	1400 W MAYFIELD RD
Second Line	:	BLDG 350
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2371
Country	:	US
Telephone Number	:	877-509-7700
Fax Number	:	877-330-2606

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. FELICIA L CHAPPELL
Credential	:	PHD
Telephone Number	:	877-509-7700

Provider Enumeration Date	:	08/27/2012
Last Update Date	:	12/08/2015

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