MEDICARE: KONNECT KARE RESIDENTIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023803426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KONNECT KARE RESIDENTIAL SERVICES

Provider Business Mailing Address
First Line	:	5701 PRINCESS ANNE RD STE F
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3253
Country	:	US
Telephone Number	:	757-756-8199
Fax Number	:	757-917-5046

Provider Business Practice Location Address
First Line	:	5701 PRINCESS ANNE RD STE F
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3253
Country	:	US
Telephone Number	:	757-756-8199
Fax Number	:	757-917-5046

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA HAIRSTON
Credential	:
Telephone Number	:	757-756-8199

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “KONNECT KARE RESIDENTIAL SERVICES ” Practice Location

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