# KIZA HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kiza Healthcare Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114711058
- **Authorized official:** JENIPHER I NAZARETH BCBA (CEO)
- **Authorized official phone:** (301) 204-6285

## Contact information

- **Practice address:** 5001 SEMINARY RD APT 305, ALEXANDRIA, VA 22311-1907
- **Practice address phone:** (202) 301-3913
- **Practice address fax:** (301) 204-6285
- **Mailing address:** 5001 SEMINARY RD APT 305, ALEXANDRIA, VA 22311-1907
- **Mailing address phone:** (202) 301-3913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 04/25/2025