NPIMap

Organization Active NPI

KC Community Services

  • Lodging Provider
  • Washington, DC
National Provider Identifier
1306598917
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
KC COMMUNITY SERVICES
Practice address
2412 Minnesota Ave SE Ste a
Washington, DC 20020-5300
Phone
(202) 957-7456
Fax
(202) 747-7754
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mr. Innocent Chia
Title
President/Owner
Phone
(240) 481-0557

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2412 Minnesota Ave SE Ste a
Washington, DC 20020-5300

Mailing address

2412 Minnesota Ave SE Ste a
Washington, DC 20020-5300
Phone (202) 957-7456

Other identifiers 1

IdentifierTypeStateIssuer
047118368MedicaidDC

National Provider Directory

National Provider Directory

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1306598917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 MINNESOTA AVE SE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205300",
            "telephone_number": "202-957-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 MINNESOTA AVE SE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205300",
            "telephone_number": "202-957-7456",
            "fax_number": "202-747-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CHIA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "240-481-0557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047118368",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.