NPIMap

Organization Active NPI

KBC Nursing Agency and Home Health Care Inc.

  • Nursing Facility/Intermediate Care Facility
  • Takoma Park, MD
National Provider Identifier
1386905735
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
T-352-174-080-684 Issued in MD
Legal business name
KBC NURSING AGENCY AND HOME HEALTH CARE INC.
Practice address
790 Fairview Ave
Appt 413
Takoma Park, MD 20912-5979
Phone
(240) 705-0959
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Mrs. Christine Williams, DC
Title
Nurse
Phone
(202) 291-6973

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X T-352-174-080-684 MD Primary
Nursing Facility/Intermediate Care Facility 313M00000X 37 DC

Addresses

Primary practice location

790 Fairview Ave
Appt 413
Takoma Park, MD 20912-5979

Mailing address

790 Fairview Ave
Appartement 413
Takoma Park, MARYLAND 20912
UM
Phone (240) 705-0959

Other identifiers 1

IdentifierTypeStateIssuer
37MedicaidDC

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.

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1386905735",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "790 FAIRVIEW AVE",
            "address_2": "APPARTEMENT 413",
            "city": "TAKOMA PARK",
            "state": "MARYLAND",
            "postal_code": "20912",
            "telephone_number": "240-705-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 FAIRVIEW AVE",
            "address_2": "APPT 413",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125979",
            "telephone_number": "240-705-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBC NURSING AGENCY AND HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "202-291-6973",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "T-352-174-080-684",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "DC",
            "license": "37",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.