Organization Active NPI

Khaleena Home Health Care, LLC

  • In Home Supportive Care Agency
  • Temple Hills, MD
National Provider Identifier
1417548397
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KHALEENA HOME HEALTH CARE, LLC
Practice address
4400 Stamp Rd Ste 406a
Temple Hills, MD 20748-6730
Phone
(202) 903-7147
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Latarsha Day
Title
Owner
Phone
(202) 903-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4400 Stamp Rd Ste 406a
Temple Hills, MD 20748-6730

Mailing address

2018 N Anvil LN
Temple Hills, MD 20748-4275
Phone (202) 903-7147

National Provider Directory

National Provider Directory

Locations

4400 Stamp Rd
Ste 406A
Temple Hills, MD 20748
Phone (202) 903-7147

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1417548397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 N ANVIL LN",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484275",
            "telephone_number": "202-903-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD STE 406A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486730",
            "telephone_number": "202-903-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALEENA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "LATARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-903-7147"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.