Kairos Healthcare Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KAIROS HEALTHCARE SERVICES LLC

Doing business as

Kairos Healthcare Services

Practice address

11355 Pembrooke SQ Ste 109
Waldorf, MD 20603-4805

Phone

(240) 544-8190

Fax

(240) 200-7862

NPI assigned

Dec 4, 2021

Last updated

Oct 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ogechukwu I Igbo, NP

Title

Psychiatric Nurse Practitioner

Phone

(240) 544-8190

Specialties & licenses 1

Addresses

Other names 1

• Kairos Healthcare Services Doing business as

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Tax ID family

Kairos Healthcare Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kairos Healthcare Services LLC

  • Community/Behavioral Health Agency
  • Waldorf, MD
  • NPI 1285539783
  NPD tax ID
• Kairos Healthcare Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1942105440
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ogechukwu Igbo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Falls Church, VA
  • NPI 1730781857

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1063170272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 BIRDIE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746022",
            "telephone_number": "240-544-8190",
            "fax_number": "240-200-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 PEMBROOKE SQ STE 109",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034805",
            "telephone_number": "240-544-8190",
            "fax_number": "240-200-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10432 Balls Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092514",
            "country_code": "US",
            "telephone_number": "240-544-8190",
            "fax_number": "240-200-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "I IGBO",
        "authorized_official_first_name": "OGECHUKWU",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-544-8190",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kairos Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kairos Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• K&I Healthcare Services
• K&I Healthcare Services
• K&I Healthcare Services
• K&I Healthcare Services
• K&I Healthcare Services, LLC
• Kairos Healthcare Services LLC
• Kairos Healthcare Services LLC
• Heena Kalathiya, PT,MS
• Elizabeth V Kalaw
• Katie Kameka, DDS

• Psychiatric/Mental Health Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.