Mary Kabuga

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

RO736 Issued in MD

Practice address

54 Stoneway PL
Nottingham, MD 21236-4809

Phone

(443) 653-7837

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Destiny L&M Care Services

  • Home Health Agency
  • Nottingham, MD
  • NPI 1427934801
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1427720291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 STONEWAY PL",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364809",
            "telephone_number": "443-653-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 STONEWAY PL",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364809",
            "telephone_number": "443-653-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUGA",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MD",
            "license": "RO736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Jones
• Patricia Jones
• Rachel Brook Jones, OTR/L
• Tomeka Jones
• Thomasina Journette
• Nicole Kafka
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Sleiman Maroun Kallab
• Katherine J Kaltenheuser

• Nursing Home Administrator in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Nursing Home Administrator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.