NPI Code Details Logo

NPI 1366146714

NPI 1366146714 : KINDWELL HOMECARE OF VIRGINIA INC : CHARLOTTESVILLE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366146714
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KINDWELL HOMECARE OF VIRGINIA INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/29/2023
-----------------------------------------------------
    Last Update Date     |    03/14/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1603 CEDAR HILL RD 
-----------------------------------------------------
    City                 |    CHARLOTTESVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22901-2615
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-409-7727
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1603 CEDAR HILL RD 
-----------------------------------------------------
    City                 |    CHARLOTTESVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22901-2615
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-409-7727
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT, ADMINISTRATOR
-----------------------------------------------------
    Name                 |     CHANDRA  UPRETI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    410-497-4215
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    372500000X
-----------------------------------------------------
    Taxonomy Name        |    Chore Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.