MEDICARE: KINDLY CARE INC

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1235949736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDLY CARE INC

Provider Business Mailing Address
First Line	:	310 E 38TH ST STE 215
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1300
Country	:	US
Telephone Number	:	619-414-8900
Fax Number	:	651-846-6297

Provider Business Practice Location Address
First Line	:	3215 21ST AVE S APT 202
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-2490
Country	:	US
Telephone Number	:	619-414-8900
Fax Number	:	651-846-6297

Authorized Official
Title or Position	:	MANAGER
Name	:	ABAS OSMAN MOHAMED
Credential	:
Telephone Number	:	619-414-8999

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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Directions to “KINDLY CARE INC ” Practice Location

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