Provider Demographics
NPI:1811697725
Name:KABIR HEATH & COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:KABIR HEATH & COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHADIJA
Authorized Official - Middle Name:BAMBAY
Authorized Official - Last Name:JALLOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-459-9722
Mailing Address - Street 1:6564 LOISDALE CT STE 600D6564
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6564 LOISDALE CT STE 600D
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1838
Practice Address - Country:US
Practice Address - Phone:240-486-7038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health