Keilah Restoration Ministries, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEILAH RESTORATION MINISTRIES, LLC

Practice address

1629 K St NW
Suite 300
Washington, DC 20006-1602

Phone

(240) 997-8751

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Nichola K Brown, LICSW

Title

President/Ce)

Phone

(240) 997-8751

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1437693777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 REGENCY PKWY",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473816",
            "telephone_number": "240-997-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "240-997-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEILAH RESTORATION MINISTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICHOLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CE)",
        "authorized_official_telephone_number": "240-997-8751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seida Siraj Kegne
• Bethany Martin Kehne, MD
• Mary Kehoe, RN
• Ferwin Teka Kehshen II
• Angela Kristine Keila, M.A. CCC-SLP
• Timothy Paul Keily, BOCO
• Amy Keim, PA C
• John F. Keiser, MD, PHD
• Abigail Jessie Keisling, DPT
• Robert West Keisling, M.D.

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.