NPIMap

Organization Active NPI

Kingdom Elements Midway LLC

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1508630906
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KINGDOM ELEMENTS MIDWAY LLC
Practice address
901 E 25TH St
Baltimore, MD 21218-5504
Phone
(443) 793-8485
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Chantia L BeanNPI 1730947490
Title
Director
Phone
(443) 793-8485

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

901 E 25TH St
Baltimore, MD 21218-5504

Mailing address

901 E 25TH St
Baltimore, MD 21218-5504

National Provider Directory

National Provider Directory

Locations

901 E 25th St
Baltimore, MD 21218
Phone (443) 793-8485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1508630906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185504",
            "telephone_number": "443-793-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM ELEMENTS MIDWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "CHANTIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-793-8485"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.