Provider Demographics
NPI:1821978669
Name:KINDRED WAY COLLECTIVE
Entity type:Organization
Organization Name:KINDRED WAY COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOLLIS
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WHITFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-549-4212
Mailing Address - Street 1:711 S CEDAR RIDGE DR UNIT 380424
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75138-3618
Mailing Address - Country:US
Mailing Address - Phone:214-549-4212
Mailing Address - Fax:
Practice Address - Street 1:711 S CEDAR RIDGE DR UNIT 380424
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75138-3618
Practice Address - Country:US
Practice Address - Phone:214-549-4212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)