Organization Active NPI

KC Community Services Inc

  • Case Management Agency
  • Washington, DC
National Provider Identifier
1538437009
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KC COMMUNITY SERVICES INC
Practice address
2412 Minnesota Ave SE
Unit a
Washington, DC 20020-5300
Phone
(202) 957-7456
Fax
(202) 747-7754
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Ms. Shelia Dean
Title
Operations Specialist
Phone
(240) 565-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2412 Minnesota Ave SE
Unit a
Washington, DC 20020-5300

Mailing address

2412 Minnesota Ave SE
Unit a
Washington, DC 20020-5300
Phone (202) 957-7456

Other identifiers 1

IdentifierTypeStateIssuer
042350200MedicaidDC

National Provider Directory

National Provider Directory

Locations

7410 Georgia Ave NW
Washington, DC 20012
Phone (202) 350-4011

2412 Minnesota Ave SE
Ste A
Washington, DC 20020
Phone (202) 813-9262

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1538437009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 MINNESOTA AVE SE",
            "address_2": "UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205300",
            "telephone_number": "202-957-7456",
            "fax_number": "202-747-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 MINNESOTA AVE SE",
            "address_2": "UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205300",
            "telephone_number": "202-957-7456",
            "fax_number": "202-747-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "240-565-7624",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042350200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.