NPIMap

Organization Active NPI

K&I Healthcare Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waldorf, MD
National Provider Identifier
1265216576
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
K&I HEALTHCARE SERVICES
Practice address
11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708
Phone
(240) 419-3803
Fax
(240) 419-2931
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Ikechukwu Obiora, NP
Title
Ceo
Phone
(240) 667-1679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708

Mailing address

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708

Other practice location 1

4301 Garden City Dr Ste 303
Landover, MD 20785-6105
Phone (240) 667-1679

National Provider Directory

National Provider Directory
Tax ID family
Ki Healthcare Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1265216576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023708",
            "telephone_number": "240-419-3803",
            "fax_number": "240-419-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garden City Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207856105",
            "country_code": "US",
            "telephone_number": "240-667-1679",
            "fax_number": "240-667-1712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K&I HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "OBIORA",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-667-1679",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.