Organization Active NPI

Kenoly Home Care, LLC

  • Nursing Care Agency
  • Fairfax, VA
National Provider Identifier
1609897586
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HCO264 Issued in VA
Legal business name
KENOLY HOME CARE, LLC
Practice address
8303 Arlington Blvd
Suite 210
Fairfax, VA 22031-2903
Phone
(703) 573-3852
Fax
(703) 573-3853
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Kekelwa Noliya Dall
Title
Administrator/Ceo
Phone
(703) 573-3852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO 264 VA
Nursing Care Agency 251J00000X HCO264 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd
Suite 210
Fairfax, VA 22031-2903

Mailing address

8303 Arlington Blvd
Suite 210
Fairfax, VA 22031-2903
Phone (703) 573-3852

Other identifiers 1

IdentifierTypeStateIssuer
248092OtherMDKAISER PMNTE PROVIDER

Other names 1

  • Kendal Home Care, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8303 Arlington Blvd
Ste 210
Fairfax, VA 22031
Phone (703) 829-3536

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609897586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-3852",
            "fax_number": "703-573-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-3852",
            "fax_number": "703-573-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOLY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DALL",
        "authorized_official_first_name": "KEKELWA",
        "authorized_official_middle_name": "NOLIYA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "703-573-3852",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO 264",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PMNTE PROVIDER",
            "identifier": "248092",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendal Home Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 11, 2025; 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.