Active NPI
Frida Minde Kimolo
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1235580499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3109 Martin Luther King Jr Ave SE Apt 2
Washington, DC 20032-1576 - Phone
- (202) 800-4433
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA12162 | DC | |
| Case Manager/Care Coordinator | 171M00000X | DC | Primary |
Addresses
Primary practice location
3109 Martin Luther King Jr Ave SE Apt 2
Washington, DC 20032-1576
Mailing address
13023 Woodcutter Cir
Germantown, MD 20876-6958
Phone (240) 779-3513
Other practice location 1
6327 Landover Rd
Apt 302
Cheverly, MD 20785-1327
Phone (240) 779-3513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA12162 | DC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Hope Home Health Care LLC | Current | Accepting new patients | |
| Heart of Hope Home Health Care LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fairfax, VA
- NPI 1568293843
-
- Home Health Agency
- Fairfax, VA
- NPI 1962006544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1235580499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13023 WOODCUTTER CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766958",
"telephone_number": "240-779-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 MARTIN LUTHER KING JR AVE SE APT 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321576",
"telephone_number": "202-800-4433"
}
],
"practiceLocations": [
{
"address_1": "6327 Landover Rd",
"address_2": "APT 302",
"address_purpose": "LOCATION",
"city": "Cheverly",
"state": "MD",
"postal_code": "207851327",
"country_code": "US",
"telephone_number": "240-779-3513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMOLO",
"first_name": "FRIDA",
"middle_name": "MINDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12162",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.