MEDICARE: KINDHEARTED HOME 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

General Provider Information

NPI Number	:	1881557759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDHEARTED HOME CARE LLC

Provider Business Mailing Address
First Line	:	208 CRESTWOOD DR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-2583
Country	:	US
Telephone Number	:	708-257-8504
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 CRESTWOOD DR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-2583
Country	:	US
Telephone Number	:	708-257-8504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TEASA EZEH
Credential	:
Telephone Number	:	708-257-8504

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1972029718 — TAWANNA ST LEWIS MS, CGC
Practice Location Address:

7777 FOREST LN STE A204
DALLAS, TX
75230-2583

Practice Phone: 972-566-3955
Practice Fax:

1831766799 — JACQUELINE M BAQUET
Practice Location Address:

7777 FOREST LN STE A204
DALLAS, TX
75230-2583

Practice Phone: 972-566-4119
Practice Fax:

1598509374 — KALEENA WAGNER CGC
Practice Location Address:

7777 FOREST LN STE A204
DALLAS, TX
75230-2583

Practice Phone: 972-566-3955
Practice Fax: 469-484-2261

1952099046 — OCEAN SANDS COUNSELING PLLC
Practice Location Address:

411 SILVER SPRING ST
DALLAS, GA
30157-8287

Practice Phone: 718-974-9341
Practice Fax:

1811851835 — LATANYA CRUM-EWING PMHNP-BC
Practice Location Address:

320 ROYAL SUNSET DR
DALLAS, GA
30157-5048

Practice Phone: 678-939-3279
Practice Fax:

1831185867 — DR. ROGER W SCOTT JR. O.D.
Practice Location Address:

4075 MARIETTA HWY , 110
DALLAS, GA
30157-3315

Practice Phone: 770-445-9866
Practice Fax: 770-445-8244

Directions to “KINDHEARTED HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.