Kidscare Home Health of Washington D.C., LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KIDSCARE HOME HEALTH OF WASHINGTON D.C., LLC

Practice address

3303 Stanton Rd SE Ste a
Washington, DC 20020-2252

Phone

(703) 679-7837

Fax

(877) 300-7394

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Kaskavage

Title

Director of Compliance

Phone

(214) 575-2999

Specialties & licenses 2

Addresses

Listed as

Kidscare Home Health of Washington DC LLCCCN 097084

Ownership

-

Certified

Dec 4, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genesis Blanco

  • Pediatric Occupational Therapist
  • Dallas, TX
  • NPI 1326923418
  NPD
• Ashley Graves

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1770385973
  NPD
• Mackenzie Swanson

  • Physical Therapist
  • Dallas, TX
  • NPI 1578395471
  NPD
• Alexis Zadorozny, PT, DPT

  • Pediatric Physical Therapist
  • Dallas, TX
  • NPI 1477438059
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1578278446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SPRING VALLEY RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443631",
            "telephone_number": "866-919-3240",
            "fax_number": "877-300-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 STANTON RD SE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202252",
            "telephone_number": "703-679-7837",
            "fax_number": "877-300-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCARE HOME HEALTH OF WASHINGTON D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "KASKAVAGE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "214-575-2999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alemnesh Kidanwold
• Kidd International Home Care
• Tyffany Louise Kidd, LPC, LCPC
• Miryam Kiderman, PSYD
• Kids Therapy and Assessments, LLC
• Shawntel Kidwell
• Jerry Kidze Kinah
• Michael Alexander Kiefer, M.D.
• Sarah E. Kieffer, MSN CNP
• Emmanuel Rene Kieguing Kouam

• Home Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.