Active NPI
KC Community Services Inc
- Case Management Agency
- Washington, DC
National Provider Identifier
1538437009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042350200 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Upper Marlboro, MD
- NPI 1851094338
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.