NPIMap

Organization Active NPI

Kirstin Care LLC

  • Community/Behavioral Health Agency
  • Camp Springs, MD
National Provider Identifier
1205480589
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIRSTIN CARE LLC
Practice address
5801 Allentown Rd Ste 310&311
Camp Springs, MD 20746-4563
Phone
(240) 392-2876
Fax
(240) 838-3015
NPI assigned
Jul 25, 2019
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mr. Stephen Foncham, MBA
Title
Ceo/Founder/President
Phone
(240) 392-2876

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5801 Allentown Rd Ste 310&311
Camp Springs, MD 20746-4563

Mailing address

5801 Allentown Rd Ste 310&311
Camp Springs, MD 20746-4563
Phone (240) 392-2876

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kirstinshaven.org

National Provider Directory

National Provider Directory
Tax ID family
Kirstin Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1205480589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 310&311",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "240-392-2876",
            "fax_number": "240-838-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 310&311",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "240-392-2876",
            "fax_number": "240-838-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "FONCHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO/FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "240-392-2876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kirstinshaven.org",
            "affiliation": "N",
            "address_1": "5801 Allentown Rd Ste 310",
            "city": "Camp Springs",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207464564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.