NPIMap

Organization Active NPI

Korean Resource Center, Inc

Doing business as Korean Wellness Center

  • Adult Day Care Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1134488547
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
R134384 Issued in MD
Legal business name
KOREAN RESOURCE CENTER, INC
Doing business as
Korean Wellness Center
Practice address
10176 Baltimore National Pike
Ste 107
Ellicott City, MD 21042-3650
Phone
(410) 203-1111
Fax
(410) 203-2685
NPI assigned
May 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Dr. Kim Byeng Kim, PH.D.
Title
Ceo/President
Phone
(410) 818-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X R134384 MD Primary

Addresses

Primary practice location

10176 Baltimore National Pike
Ste 107
Ellicott City, MD 21042-3650

Mailing address

3239A Corporate CT
Ellicott City, MD 21042-2247
Phone (410) 818-0900

Other names 1

  • Korean Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Korean Home Care3 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

10176 Baltimore National Pike
Ste 107
Ellicott City, MD 21042
Phone (410) 203-1111

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1134488547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239A CORPORATE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "410-818-0900",
            "fax_number": "410-203-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE",
            "address_2": "STE 107",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423650",
            "telephone_number": "410-203-1111",
            "fax_number": "410-203-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN RESOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "BYENG",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "410-818-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "R134384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korean Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.