Kissinger Healthcare Enterprises, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KISSINGER HEALTHCARE ENTERPRISES, LLC

Practice address

3921 Old Lee Hwy Ste 71C
Fairfax, VA 22030-2429

Phone

(703) 992-7420

Fax

(703) 992-7402

NPI assigned

Jun 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Kissinger, CPA, JD, LL.M.

Title

Member & Administrator

Phone

(703) 992-7420

Specialties & licenses 5

Addresses

Other names 1

• Homewatch CareGivers of Fairfax Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407377682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 OLD LEE HWY STE 71C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302429",
            "telephone_number": "703-992-7420",
            "fax_number": "703-992-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 OLD LEE HWY STE 71C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302429",
            "telephone_number": "703-992-7420",
            "fax_number": "703-992-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSINGER HEALTHCARE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "KISSINGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MEMBER & ADMINISTRATOR",
        "authorized_official_telephone_number": "703-992-7420",
        "authorized_official_credential": "CPA, JD, LL.M."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "HCO-17622",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "VA",
            "license": "HCO-17622",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "HCO-17622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Kirschenbaum
• Kevin Kisiedu, OT
• Molly McHale Kisiel, FNP-BC
• Eric William Kisling
• Kismet Psychiatry and Wellness, LLC
• Jack Kitaeff, PH.D.
• Rebecca Lynne Kivlin, O.D.
• Christine M Klam, NP
• Rosemary Klapac Guimond
• Tabitha Kathleen Kleehammer

• In Home Supportive Care Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.