Provider Demographics
NPI:1790427680
Name:WELLNESS AND KINDNESS HEALTHCARE LLC
Entity Type:Organization
Organization Name:WELLNESS AND KINDNESS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHIDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-723-2142
Mailing Address - Street 1:1340 OLD CHAIN BRIDGE RD STE 300D
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3955
Mailing Address - Country:US
Mailing Address - Phone:240-723-2142
Mailing Address - Fax:
Practice Address - Street 1:1340 OLD CHAIN BRIDGE RD STE 300D
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3955
Practice Address - Country:US
Practice Address - Phone:240-723-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health