Organization
KINKAID PRIVATE NURSING CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BEMBRY (PRESIDENT)
(310) 866-9648
Entity
Organization
Contact information
Practice address
4012 KATELLA AVE STE 104, LOS ALAMITOS, CA 90720-3451
(866) 337-4596
(310) 388-5622
Mailing address
4012 KATELLA AVE STE 104, LOS ALAMITOS, CA 90720-3451
(866) 337-4596
(310) 388-5622
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/06/2020
Last updated
03/31/2022
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