Organization Active NPI

Kadie Pro Health Assisted Living

  • Respite Care
  • New Carrollton, MD
National Provider Identifier
1558773366
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
R3530 Issued in MD
Legal business name
KADIE PRO HEALTH ASSISTED LIVING
Practice address
8301 Donoghue Dr
New Carrollton, MD 20784-3309
Phone
(301) 552-3675
Fax
(301) 577-1433
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Ms. Kadiatu Hawa Kanneh
Title
Ceo
Phone
(240) 938-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X R3530 MD Primary

Addresses

Primary practice location

8301 Donoghue Dr
New Carrollton, MD 20784-3309

Mailing address

8301 Donoghue Dr
New Carrollton, MD 20784-3309
Phone (301) 552-3675

National Provider Directory

National Provider Directory
Tax ID family
Kadie Pro Health Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1558773366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 DONOGHUE DR",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843309",
            "telephone_number": "301-552-3675",
            "fax_number": "301-577-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 DONOGHUE DR",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843309",
            "telephone_number": "301-552-3675",
            "fax_number": "301-577-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADIE PRO HEALTH ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "KANNEH",
        "authorized_official_first_name": "KADIATU",
        "authorized_official_middle_name": "HAWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-938-4043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MD",
            "license": "R3530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.