Organization Active NPI

King Health Systems, Inc

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1104433945
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KING HEALTH SYSTEMS, INC
Practice address
14201 Laurel Park Dr Ste 206
Laurel, MD 20707-5203
Phone
(301) 725-5464
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Sule Salako
Title
Ceo
Phone
(202) 545-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 206
Laurel, MD 20707-5203

Mailing address

3502 W Rogers Ave Ste 1
Baltimore, MD 21215-4749
Phone (410) 578-4340

Other identifiers 1

IdentifierTypeStateIssuer
200109440MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
King Health Systems Inc3 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.

Locations

14201 Laurel Park Dr
Ste 206
Laurel, MD 20707
Phone (301) 725-5464

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": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1104433945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 W ROGERS AVE STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154749",
            "telephone_number": "410-578-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 206",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-725-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "SULE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-545-0021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109440",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.