Healthcare Provider Details

I. General information

NPI: 1346152923
Provider Name (Legal Business Name): KANDS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 COUNTRY ROADS LN
MANASSAS VA
20112-2775
US

IV. Provider business mailing address

9505 COUNTRY ROADS LN
MANASSAS VA
20112-2775
US

V. Phone/Fax

Practice location:
  • Phone: 571-513-0206
  • Fax: 703-991-2770
Mailing address:
  • Phone: 571-513-0206
  • Fax: 703-991-2770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NJIDEKA FRANCISCA ANAZIA DRAYTON
Title or Position: OWNER/ADMINISTRATOR
Credential: RN, BSN
Phone: 347-586-1097