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General NPI Number Information
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NPI Number | 1598388878
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Entity Type | Organization
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Legal Business Name | KONNECT KARE HOME HEALTH AGENCY
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 600 W 25TH ST STE 13
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City | NORFOLK
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State | VA
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Zip | 23517-1212
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Country | US
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Telephone | 757-917-5102
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Fax | 757-917-5046
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Provider Business Mailing Address
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Address Line | 5701 PRINCESS ANNE RD STE F
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City | VIRGINIA BCH
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State | VA
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Zip | 23462-3253
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Country | US
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Telephone | 757-917-5102
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Fax | 757-917-5046
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ROCHELL HAIRSTON
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Credential |
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Telephone | 757-917-5102
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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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