Provider Demographics
NPI:1811873995
Name:KINDVINE CARE AND SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:KINDVINE CARE AND SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDOWU
Authorized Official - Middle Name:TITILAYO
Authorized Official - Last Name:OLADEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-439-5607
Mailing Address - Street 1:31 TEMPLE PL FL 1
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-2910
Mailing Address - Country:US
Mailing Address - Phone:862-439-5607
Mailing Address - Fax:
Practice Address - Street 1:31 TEMPLE PL FL 1
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2910
Practice Address - Country:US
Practice Address - Phone:862-439-5607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health