NPIMap

Organization Active NPI

Kenah One Health Care Services, LLC

  • Multi-Specialty Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1285255307
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KENAH ONE HEALTH CARE SERVICES, LLC
Practice address
308 Crain Hwy N
Glen Burnie, MD 21061-3090
Phone
(443) 465-9958
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Ketty Ngona, CRNP, PMH-BCNPI 1962714204
Title
Program Director
Phone
(443) 465-9958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

308 Crain Hwy N
Glen Burnie, MD 21061-3090

Mailing address

7735 Hollins Chapel CT
Glen Burnie, MD 21060-8396
Phone (443) 465-9958

National Provider Directory

National Provider Directory
Tax ID family
Kenah One Health Care Services LLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1285255307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 HOLLINS CHAPEL CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608396",
            "telephone_number": "443-465-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CRAIN HWY N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613090",
            "telephone_number": "443-465-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAH ONE HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "NGONA",
        "authorized_official_first_name": "KETTY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-465-9958",
        "authorized_official_credential": "CRNP, PMH-BC"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 29, 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.