KCM Residential Care Soultions LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KCM RESIDENTIAL CARE SOULTIONS LLC

Practice address

30 Prestbury SQ Ste 322
Newark, DE 19713-3237

Phone

(302) 295-1098

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Crystal Amoah, PMHNP-BCNPI 1053856138

Title

Ceo

Phone

(484) 620-5677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Crystal Amoah

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
  • NPI 1053856138
  NPD Authorized official

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1104705771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PRESTBURY SQ STE 322",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PRESTBURY SQ STE 322",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133237",
            "telephone_number": "302-295-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCM RESIDENTIAL CARE SOULTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "AMOAH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-620-5677",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminata Kawie
• Amanda J Kay, MD
• Jerome Charles Kayatta, DDS
• Sophia Kayatta, NBC-HWC, CHES, CPT,
• Barry S Kayne, DDS
• Janice Elizabeth Keane, MNS NP C
• Alexandra Marie Keefe
• Binoy Keerimukalel Jacob
• Ginna Elizabeth Keil, CRNP
• Kabir Olayiwola Kelani, LPN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Newark, DE
• Providers in Newark, DE by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.