Organization Active NPI

K.I.S.H. Home Inc

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1295535243
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
K.I.S.H. HOME INC
Practice address
118 Hiawatha LN
Dover, DE 19904-2486
Phone
(302) 241-2172
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Kishma George
Title
President
Phone
(302) 399-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

118 Hiawatha LN
Dover, DE 19904-2486

Mailing address

PO Box 672
Felton, DE 19943-0672
Phone (302) 399-6477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1295535243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199430672",
            "telephone_number": "302-399-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HIAWATHA LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042486",
            "telephone_number": "302-241-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.I.S.H. HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KISHMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-399-6477"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.