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General NPI Number Information
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NPI Number | 1508665985
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Entity Type | Organization
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Legal Business Name | KAYIRA HOME CARE LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1376 OLD BRIDGE RD STE 102
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2766
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Country | US
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Telephone | 202-207-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 1376 OLD BRIDGE RD STE 102
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2766
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Country | US
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Telephone | 202-207-4885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUSSOUF KOUYATE
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Credential |
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Telephone | 202-207-4885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 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 #3
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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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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