# KISSINGER HEALTHCARE ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewatch CareGivers of Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407377682
- **Authorized official:** DONALD KISSINGER CPA, JD, LL.M. (MEMBER & ADMINISTRATOR)
- **Authorized official phone:** (703) 992-7420

## Contact information

- **Practice address:** 3921 OLD LEE HWY STE 71C, FAIRFAX, VA 22030-2429
- **Practice address phone:** (703) 992-7420
- **Practice address fax:** (703) 992-7402
- **Mailing address:** 3921 OLD LEE HWY STE 71C, FAIRFAX, VA 22030-2429
- **Mailing address phone:** (703) 992-7420
- **Mailing address fax:** (703) 992-7402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | HCO-17622 | VA | — |
| 376J00000X | Homemaker | HCO-17622 | VA | — |
| 376K00000X | Nurse's Aide | HCO-17622 | VA | — |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 07/21/2022