Organization Active NPI

Kemrem Healthcare Limited Liability Company

  • Psychiatric/Mental Health Nurse Practitioner
  • Finksburg, MD
National Provider Identifier
1437849205
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KEMREM HEALTHCARE LIMITED LIABILITY COMPANY
Practice address
2333 Baltimore Blvd Ste a
Finksburg, MD 21048-1751
Phone
(410) 226-4442
Fax
(443) 398-8198
NPI assigned
May 15, 2023
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KEMREM HEALTHCARE LIMITED LIABILITY COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Christiana Oluwakemi Olayera-Akinboye, PMHNPNPI 1235882903
Title
President
Phone
(410) 226-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2333 Baltimore Blvd Ste a
Finksburg, MD 21048-1751

Mailing address

909 Baltimore Blvd Ste 138
Westminster, MD 21157-7069
Phone (410) 226-4442

National Provider Directory

National Provider Directory
Tax ID family
Kemrem Healthcare Limited Liability2 organizations share this tax ID, including this one
Part of
Kemrem Healthcare Limited Liability

Other organizations with this tax ID 1

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

Locations

909 Baltimore Blvd
Ste 138
Westminster, MD 21157

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1437849205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BALTIMORE BLVD STE 138",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577069",
            "telephone_number": "410-226-4442",
            "fax_number": "443-398-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BALTIMORE BLVD STE A",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210481751",
            "telephone_number": "410-226-4442",
            "fax_number": "443-398-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMREM HEALTHCARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEMREM HEALTHCARE LIMITED LIABILITY  COMPANY",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "OLAYERA-AKINBOYE",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-226-4442",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Finksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.