Provider Demographics
NPI:1124803408
Name:KHARIS CARE PARTNERS
Entity type:Organization
Organization Name:KHARIS CARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KWA-KOFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-401-6365
Mailing Address - Street 1:30 CEDAR RIDGE DR APT 200
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-9419
Mailing Address - Country:US
Mailing Address - Phone:703-401-6365
Mailing Address - Fax:
Practice Address - Street 1:235 GARRISONVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1552
Practice Address - Country:US
Practice Address - Phone:540-634-5185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care