MEDICARE: KINDNESS KEEPERS,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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1316757305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDNESS KEEPERS,LLC

Provider Business Mailing Address
First Line	:	6240 STOCKTON TRAIL WAY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4464
Country	:	US
Telephone Number	:	614-405-4104
Fax Number	:

Provider Business Practice Location Address
First Line	:	6240 STOCKTON TRAIL WAY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4464
Country	:	US
Telephone Number	:	614-405-4104
Fax Number	:

Authorized Official
Title or Position	:	DOO
Name	:	EBONI YARBROUGH-CARTER
Credential	:	RN,BSN
Telephone Number	:	614-405-4104

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/10/2025

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Directions to “KINDNESS KEEPERS,LLC ” Practice Location

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