# KINDLY HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558195123
- **Authorized official:** MR. JEAN CLAUDE NIYONSHIMA (MANAGER)
- **Authorized official phone:** (502) 999-0120

## Contact information

- **Practice address:** 3411 BARDSTOWN RD STE 5, LOUISVILLE, KY 40218-4612
- **Practice address phone:** (502) 999-0120
- **Mailing address:** 3411 BARDSTOWN RD STE 5, LOUISVILLE, KY 40218-4612
- **Mailing address phone:** (502) 999-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2024
- **Last updated:** 08/28/2024