Provider Demographics
NPI:1598388878
Name:KONNECT KARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:KONNECT KARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ROCHELL
Authorized Official - Last Name:HAIRSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-327-3572
Mailing Address - Street 1:600 W 25TH ST STE 13
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1212
Mailing Address - Country:US
Mailing Address - Phone:757-917-5102
Mailing Address - Fax:757-917-5046
Practice Address - Street 1:600 W 25TH ST STE 13
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1212
Practice Address - Country:US
Practice Address - Phone:757-917-5102
Practice Address - Fax:757-917-5046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health