Provider Demographics
NPI:1508665985
Name:KAYIRA HOME CARE LLC
Entity type:Organization
Organization Name:KAYIRA HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUSSOUF
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUYATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-207-4885
Mailing Address - Street 1:1376 OLD BRIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2766
Mailing Address - Country:US
Mailing Address - Phone:202-207-4885
Mailing Address - Fax:
Practice Address - Street 1:1376 OLD BRIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2766
Practice Address - Country:US
Practice Address - Phone:202-207-4885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AJK TRANQUIL SPACE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-10
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child