Ma Kumba Place LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MA KUMBA PLACE LLC

Practice address

4306 Carr Dr
Fredericksburg, VA 22408-2688

Phone

(609) 424-4435

NPI assigned

Oct 10, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shedrick Bricks Seton I

Title

Owner

Phone

(609) 424-4435

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1376362897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 CARR DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082688",
            "telephone_number": "609-424-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 CARR DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082688",
            "telephone_number": "609-424-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA KUMBA PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SETON",
        "authorized_official_first_name": "SHEDRICK",
        "authorized_official_middle_name": "BRICKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-424-4435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Lynch
• William Edward Lynch III, PSYD
• Christopher Lynn
• Tyra Lyons
• M. Ohn Maung, MD, P.C.
• Steven Jebum Ma, MD
• Ma'Rru Oasis
• Clementine Rachel Maame Ouete, NP
• Ahmad Maarouf, MD
• Carlie Maat, MSW

• In Home Supportive Care Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.