Individual provider Active NPI

Jeneba Kamara

  • In Home Supportive Care Agency
  • Triangle, VA
National Provider Identifier
1265253132
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7859 Issued in VA
Practice address
3639 Wharf LN
Triangle, VA 22172-1056
Phone
(240) 491-7086
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7859 VA Primary

Addresses

Primary practice location

3639 Wharf LN
Triangle, VA 22172-1056

Mailing address

3639 Wharf LN
Triangle, VA 22172-1056
Phone (240) 491-7086

Other names 1

  • Mrs. Jeneba Kamara Other name

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

LicenseStateTypeSpecialty
7859VAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Health Care Services, LLC In Home Supportive Care CurrentSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1265253132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 WHARF LN",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721056",
            "telephone_number": "240-491-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 WHARF LN",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721056",
            "telephone_number": "240-491-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "JENEBA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "7859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENEBA",
            "last_name": "KAMARA",
            "prefix": "MRS.",
            "credential": "JENEBA KAMARA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Triangle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.