Organization Active NPI

Ksa Healthcare Services LLC

  • Home Health Agency
  • Glen Burnie, MD
National Provider Identifier
1245815497
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KSA HEALTHCARE SERVICES LLC
Practice address
6391 Smithy SQ Apt C
Glen Burnie, MD 21061-1370
Phone
(202) 704-5559
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Shola Oladapo
Title
Ceo
Phone
(202) 704-5559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

6391 Smithy SQ Apt C
Glen Burnie, MD 21061-1370

Mailing address

6391 Smithy SQ Apt C
Glen Burnie, MD 21061-1370
Phone (202) 704-5559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1245815497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 SMITHY SQ APT C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611370",
            "telephone_number": "202-704-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 SMITHY SQ APT C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611370",
            "telephone_number": "202-704-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "OLADAPO",
        "authorized_official_first_name": "SHOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-704-5559"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.