Organization Active NPI

G & K Health Care Professionals LLC

  • Exclusive Provider Organization
  • Washington, DC
National Provider Identifier
1053684209
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
G & K HEALTH CARE PROFESSIONALS LLC
Practice address
7700 Alaska Ave NW
Washington, DC 20012-1422
Phone
(301) 675-5755
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Helen KembumbaraNPI 1912217456
Title
Manager
Phone
(301) 675-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

7700 Alaska Ave NW
Washington, DC 20012-1422

Mailing address

7700 Alaska Ave NW
Washington, DC 20012-1422

Other identifiers 1

IdentifierTypeStateIssuer
1912217456MedicaidDC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1053684209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 ALASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 ALASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121422",
            "telephone_number": "301-675-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & K HEALTH CARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "KEMBUMBARA",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-675-5755"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912217456",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.