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NPI Code Detail

MEDICARE: KIND-CARE

MEDICARE: KIND-CARE
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
1385H00000XRespite Care
2376J00000XHomemaker
33747P1801XPersonal Care Attendant
4372600000XAdult Companion
53747A0650XAttendant Care Provider
6253Z00000XIn Home Supportive Care AgencyHCO-14594VA

General Provider Information

NPI Number : 1124433453
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIND-CARE
Provider Business Mailing Address
First Line : 13800 COPPERMINE RD
Second Line : STE 148
City : HERNDON
State : VA
Zip : 20171-6163
Country : US
Telephone Number : 866-769-6746
Fax Number : 703-935-2438
Provider Business Practice Location Address
First Line : 13800 COPPERMINE RD
Second Line : STE 148
City : HERNDON
State : VA
Zip : 20171-6163
Country : US
Telephone Number : 866-769-6746
Fax Number : 703-935-2438
Authorized Official
Title or Position : ALT ADMINISTRATOR
Name : MR. SHARMARK MOHAMUD ISMAIL
Credential :
Telephone Number : 703-865-9664
Provider Enumeration Date : 06/25/2014
Last Update Date : 10/31/2025

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Directions to “KIND-CARE ” Practice Location

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