MEDICARE: KIND CARE SERVICES 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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1932971983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIND CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	34 MORRO BAY DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4281
Country	:	US
Telephone Number	:	713-703-9314
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 MORRO BAY DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4281
Country	:	US
Telephone Number	:	503-810-2428
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MULUKEN T AYMIERW
Credential	:
Telephone Number	:	713-703-9314

Provider Enumeration Date	:	10/24/2023
Last Update Date	:	05/10/2024

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Directions to “KIND CARE SERVICES LLC ” Practice Location

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