Organization Active NPI

Shekinah Loving Care

  • In Home Supportive Care Agency
  • Bowie, MD
National Provider Identifier
1114776960
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHEKINAH LOVING CARE
Practice address
10111 Martin Luther King Jr Hwy Ste 108
Bowie, MD 20720-4222
Phone
(240) 205-1284
Fax
(301) 794-0115
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Daphne Kruah
Title
President
Phone
(240) 205-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10111 Martin Luther King Jr Hwy Ste 108
Bowie, MD 20720-4222

Mailing address

10111 Martin Luther King Jr Hwy Ste 108
Bowie, MD 20720-4222
Phone (240) 205-1284

Other names 1

  • SHEKINAH LOVING CARE Other name

National Provider Directory

National Provider Directory

Locations

10111 Martin Luther King Jr Hwy
Ste 108
Bowie, MD 20720
Phone (240) 205-1284

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1114776960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204222",
            "telephone_number": "240-205-1284",
            "fax_number": "301-794-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204222",
            "telephone_number": "240-205-1284",
            "fax_number": "301-794-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH LOVING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "KRUAH",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-205-1284"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEKINAH LOVING CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.