KB Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KB HEALTHCARE SERVICES LLC

Practice address

462 Herndon Pkwy Ste 206
Herndon, VA 20170-5235

Phone

(571) 274-0444

Fax

(703) 552-7676

NPI assigned

Mar 11, 2020

Last updated

Feb 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kwaku Boateng

Title

Chief Executive Officer

Phone

(571) 274-0444

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1447885223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 HERNDON PKWY STE 206",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705235",
            "telephone_number": "571-274-0444",
            "fax_number": "703-552-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 HERNDON PKWY STE 206",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705235",
            "telephone_number": "571-274-0444",
            "fax_number": "703-552-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "KWAKU",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "571-274-0444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kbhealthservices.com",
            "affiliation": "N",
            "address_1": "462 Herndon Pkwy Ste 206",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201705235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cameron Karrenbauer
• Ilene M Kasloff, MD
• Abraham A Katz, DDS
• Manpreet Kaur
• Sandeep Kaur, DDS
• Maya Keator, MS, RD, LD
• Michael Glenn Kecman, DPT
• Sarah K. Keely, LPC
• Robert Benjamin Keeton, DPT
• Katherine Kelley, COTA

• In Home Supportive Care Agency in Herndon, VA
• Providers in Herndon, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.