Jessica Marie Kinard, C.N.A.
Individual provider Active NPI Home Health Agency · Shady Side, MD
NPI 1144936261 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1144936261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- A00185540 (MD)
- Practice address
- 1716 Maryland Ave
Shady Side, MD 20764-9749 - Phone
- (410) 897-7141
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00185540 | MD | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A00185540 | MD | Yes |
Addresses
Primary practice location
1716 Maryland Ave
Shady Side, MD 20764-9749
Mailing address
1716 Maryland Ave
Shady Side, MD 20764-9749
Phone (410) 897-7141
Other providers in Shady Side, MD
- Stewart Wesley Carter
- Rufus C. Creekmore
- Direct Urgent Care LLC
- Emerson Hurajt
- Imani Johnson
- Owensville Primary Care, Inc
- Alexandra Papanicolaou
- Julianne Mary Schrom
- Harvey J Steinfeld
All providers in Shady Side, MD · Home Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.