Provider Demographics
NPI:1144989559
Name:KINSHIP HEALTH AT HOME INC
Entity type:Organization
Organization Name:KINSHIP HEALTH AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:877-751-1302
Mailing Address - Street 1:165 N. MYRTLE AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2909
Mailing Address - Country:US
Mailing Address - Phone:877-751-1302
Mailing Address - Fax:657-334-6535
Practice Address - Street 1:165 N. MYRTLE AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2909
Practice Address - Country:US
Practice Address - Phone:877-751-1302
Practice Address - Fax:657-334-6535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based