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

10601 Birdie LN
Upper Marlboro, MD 20774-6022

Phone

(240) 544-8190

Fax

(240) 200-7862

NPI assigned

Dec 4, 2021

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

Practitioners 1

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

• 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": "1725840000000",
    "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": "10601 BIRDIE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746022",
            "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": "2024-09-09",
        "certification_date": "2024-09-09",
        "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"
        }
    ]
}

• Sung Hoon Jun, DDS
• K&P Healthcare Services
• Alice Kabia
• Heather Kafele
• Kairos Behavioral Services
• Zafir Kamil Kalamadeen, M.D.
• Abdul Kalokoh
• Jariatu S Kamara
• Kadiah Kamara, LMSW
• Rhabiatu D Kamara, LPN

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Sep 9, 2024; 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.