Provider Demographics
NPI:1174306831
Name:KIND HEARTS HOSPICE LLC
Entity type:Organization
Organization Name:KIND HEARTS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLEO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-749-8868
Mailing Address - Street 1:205 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2941
Mailing Address - Country:US
Mailing Address - Phone:617-749-8868
Mailing Address - Fax:214-833-9698
Practice Address - Street 1:205 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-2941
Practice Address - Country:US
Practice Address - Phone:617-749-8868
Practice Address - Fax:214-833-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care