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General NPI Number Information
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NPI Number | 1346167905
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Entity Type | Organization
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Legal Business Name | LIFENEST HOME CARE LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 4229 LAFAYETTE CENTER DR STE 1300-B
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City | CHANTILLY
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State | VA
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Zip | 20151-1261
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Country | US
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Telephone | 540-515-4534
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Fax | 877-567-7947
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Provider Business Mailing Address
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Address Line | 4229 LAFAYETTE CENTER DR STE 1300-B
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City | CHANTILLY
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State | VA
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Zip | 20151-1261
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Country | US
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Telephone | 540-515-4534
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Fax | 877-567-7947
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Authorized Official
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Title or Position | OWNER
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Name | KALYAN CHANDRA S CHAGANTI
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Credential |
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Telephone | 540-515-4534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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