# KIND HEART HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1902159668
- **Authorized official:** MRS. ELISA LEAKE (PRESIDENT)
- **Authorized official phone:** (719) 622-1708

## Contact information

- **Practice address:** 4925 TURQUOISE CIR, COLORADO SPRINGS, CO 80917-1213
- **Practice address phone:** (719) 622-1708
- **Practice address fax:** (719) 597-5170
- **Mailing address:** 4925 TURQUOISE CIR, COLORADO SPRINGS, CO 80917
- **Mailing address phone:** (719) 622-1708
- **Mailing address fax:** (719) 597-5170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 04K999 | CO | Yes |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 10/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64403572 | — | CO |