Organization
KIND HEARTS CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KATONGOLE (C.E.O)
(480) 430-8622
Entity
Organization
Contact information
Practice address
7672 W BETTY ELYSE LN, PEORIA, AZ 85382-3835
(480) 430-8622
Mailing address
7672 W BETTY ELYSE LN, PEORIA, AZ 85382-3835
(480) 430-8622
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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