NPIMap

Organization Active NPI

KBC Nursing Agency HM Health Inc

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1376694869
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
65003496 Issued in DC
Legal business name
KBC NURSING AGENCY HM HEALTH INC
Practice address
7506 Georgia Ave NW
Washington, DC 20012-1608
Phone
(202) 291-6973
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Ms. Christine N Williams, MBPA, RN
Title
Administrator
Phone
(202) 291-6973

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 65003496 DC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Respite Care 385H00000X

Addresses

Primary practice location

7506 Georgia Ave NW
Washington, DC 20012-1608

Mailing address

7506 Georgia Ave NW
Washington, DC 20012-1608
Phone (202) 291-6973

Other identifiers 4

IdentifierTypeStateIssuer
0368075-00MedicaidDC
036333600MedicaidDC
036890100MedicaidDC
036304400MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301001139 DC Part A Provider - Home Health Agency 1759278161 Practice locations: Washington, DC

Home health agency certification: CCN 097057

Legal name
KBC NURSING AGENCY HM HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 2004
Last certification
Jan 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 1999 in DC
Enrollment address
7506 Georgia Nwave
Washington, DC 20012-1608

Care Compare: Home health agency

Medicare Care Compare
Listed as
KBC Nursing Agency & Home Health Care IncCCN 097057
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 4, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
KBC Nursing Agency and Home Health Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

7412 Georgia Ave NW
Washington, DC 20012
Phone (202) 285-1690

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Segundo Vega Individual W-2 Managing EmployeeDirector of Nursing Feb 20, 2023
Ndubuisi P Nnaji Individual Corporate OfficerVice President - Clinical Operation Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
Nkechinyere M Nnaji Individual Corporate OfficerVice President Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
Christine N Williams Individual 5% Or Greater Direct Ownership InterestAdministrator Nov 1, 1998 100%
Corporate OfficerCeo Jan 4, 2004 100%
Corporate DirectorBoard Member Jan 4, 2004 100%

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1376694869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121608",
            "telephone_number": "202-291-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121608",
            "telephone_number": "202-291-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBC NURSING AGENCY HM HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-291-6973",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBPA, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "65003496",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368075-00",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036333600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036890100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036304400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.