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General NPI Number Information
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NPI Number | 1861056145
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Entity Type | Organization
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Legal Business Name | KIND HEART INC
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 5680 KING CENTRE DR STE 610
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5755
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Country | US
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Telephone | 703-674-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 5680 KING CENTRE DR STE 610
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR MANAGER
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Name | KIDIST FESSEHA
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Credential |
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Telephone | 703-647-3821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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 #3
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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 #4
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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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