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General NPI Number Information
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NPI Number | 1427606441
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Entity Type | Organization
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Legal Business Name | KIND AND CARING HOME HEALTH AGENCY, LLC
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 101 S WHITING ST STE 209
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City | ALEXANDRIA
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State | VA
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Zip | 22304-3416
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Country | US
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Telephone | 240-296-2151
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Fax | 571-970-6039
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Provider Business Mailing Address
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Address Line | 6381 LITTLE RIVER TPKE STE 1
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5002
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Country | US
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Telephone | 157-197-0603
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Fax | 571-970-6039
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | BASIRU SAMBA
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Credential |
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Telephone | 240-296-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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