# KINDRED COMMUNITY CARES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881413698
- **Authorized official:** RUSSELL BLAND (DIRECTOR)
- **Authorized official phone:** (301) 752-4611

## Contact information

- **Practice address:** 3277 S CRATER RD STE D, PETERSBURG, VA 23805-9285
- **Practice address phone:** (804) 805-8518
- **Practice address fax:** (804) 805-8518
- **Mailing address:** 3277 S CRATER RD STE D, PETERSBURG, VA 23805-9285
- **Mailing address phone:** (804) 805-8518
- **Mailing address fax:** (804) 805-8741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 11/04/2025