Organization Active NPI

Kinder Care Homehealth Care LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1427463173
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINDER CARE HOMEHEALTH CARE LLC
Practice address
3806 Wheatgrain LN
Fairfax, VA 22033-2167
Phone
(703) 786-0151
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Amal A Mohamed
Title
Manager
Phone
(703) 786-0151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA Primary

Addresses

Primary practice location

3806 Wheatgrain LN
Fairfax, VA 22033-2167

Mailing address

3806 Wheatgrain LN
Fairfax, VA 22033-2167
Phone (703) 786-0151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1427463173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 WHEATGRAIN LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332167",
            "telephone_number": "703-786-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 WHEATGRAIN LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332167",
            "telephone_number": "703-786-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER CARE HOMEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-786-0151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.