# KIND HEARTS HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1619116449
- **Authorized official:** MS. RASHITA ANN-LAVONNE JOHNSON (PRESIDENT)
- **Authorized official phone:** (734) 778-7422

## Contact information

- **Practice address:** 4138 HARRISON ST, INKSTER, MI 48141-2965
- **Practice address phone:** (734) 778-7422
- **Practice address fax:** (734) 895-6617
- **Mailing address:** PO BOX 777, INKSTER, MI 48141-0777
- **Mailing address phone:** (734) 778-7422
- **Mailing address fax:** (734) 895-6617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2009
- **Last updated:** 02/18/2009