MEDICARE: KISMET CARE CORPORATION

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	:	1992582118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KISMET CARE CORPORATION

Provider Business Mailing Address
First Line	:	2224 LIESFELD PKWY
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-5856
Country	:	US
Telephone Number	:	609-218-9702
Fax Number	:

Provider Business Practice Location Address
First Line	:	2224 LIESFELD PKWY
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-5856
Country	:	US
Telephone Number	:	609-218-9702
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE
Name	:	MR. KETAN PATEL
Credential	:
Telephone Number	:	609-218-9702

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

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Directions to “KISMET CARE CORPORATION ” Practice Location

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