KINDRED HEARTS ASSISTED LIVING LLC NPI 1083211288

Home Health Aide in Phoenix, AZ

NPI 1083211288 Organization Home Health Aide

About KINDRED HEARTS ASSISTED LIVING LLC

Kindred Hearts Assisted Living Llc is a provider established in Phoenix, Arizona specializing in home health aide. The NPI number of Kindred Hearts Assisted Living Llc is 1083211288 and was assigned on October 2020. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an organization and their NPI record was last updated March 2021. The authorized official of this NPI record is Mr. Chauncey R Toney Sr. (Ceo)

NPI

1083211288

Provider NameKINDRED HEARTS ASSISTED LIVING LLC
Provider Location Address530 E MARIPOSA ST APT 26 PHOENIX, AZ 85012
Provider Mailing Address530 E MARIPOSA ST APT 26 PHOENIX, AZ 85012
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-01-2020
Last Update Date03-31-2021


Primary Taxonomy

Taxonomy Code374U00000X
ClassificationHome Health Aide
TypeNursing Service Related Providers
Taxonomy DescriptionA person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Business Address

KINDRED HEARTS ASSISTED LIVING LLC
530 E MARIPOSA ST APT 26
PHOENIX, AZ
ZIP 85012
Phone: (602) 563-9865

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Mailing Address

KINDRED HEARTS ASSISTED LIVING LLC
530 E MARIPOSA ST APT 26
PHOENIX, AZ
ZIP 85012
Phone: (602) 563-9865



Authorized Official

Authorized Official NameMR. CHAUNCEY R TONEY SR.
Authorized Official TitleCEO
Authorized Official Phone(602) 563-9865

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityNo

Taxonomy Description: a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.