MEDICARE: KINDNEST LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	310400000X	Assisted Living Facility
2	315P00000X	Intellectual Disabilities Intermediate Care Facility
3	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1750211652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDNEST LLC

Provider Business Mailing Address
First Line	:	2327 JULIA LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-5324
Country	:	US
Telephone Number	:	214-779-8033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2327 JULIA LN
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-5324
Country	:	US
Telephone Number	:	214-779-8033
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOYCE WANGUI ITHARA
Credential	:	RN BSN
Telephone Number	:	214-779-8033

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “KINDNEST LLC ” Practice Location

Language	Start Address	Practice Location

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