Provider Demographics
NPI:1427606441
Name:KIND AND CARING HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:KIND AND CARING HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, CEO
Authorized Official - Prefix:
Authorized Official - First Name:BASIRU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-296-2151
Mailing Address - Street 1:6381 LITTLE RIVER TPKE STE 1
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-5002
Mailing Address - Country:US
Mailing Address - Phone:157-197-0603
Mailing Address - Fax:571-970-6039
Practice Address - Street 1:101 S WHITING ST STE 209
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3416
Practice Address - Country:US
Practice Address - Phone:240-296-2151
Practice Address - Fax:571-970-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health