Individual ProviderKimone HindsLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway Ste 4a, Amityville, NY 11701-2716(631) 608-8523(631) 306-5874PECOS EnrollmentBased on the most recent information from CMS, provider Kimone Hinds does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1144860859Provider TypeIndividualFull NameHinds, KimoneCredentialRNGenderFemaleSole ProprietorNoEnumeration Date1/10/2020Last Updated3/11/2022Contact InformationPractice LocationPractice Address365 Broadway Ste 4a, Amityville, NY 11701-2716Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address998 Crooked Hill Rd, Brentwood, NY 11717-1019Phone(631) 306-5874Fax(718) 210-3559Provider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense320776-1New YorkCode163WA0400XDescriptionRegistered NurseNursing Service ProvidersLicense810002New York