Organization Active NPI

Kimmar Medical Associates

Doing business as KimMar Nursing Services

  • Nursing Care Agency
  • Glen Burnie, MD
National Provider Identifier
1659427144
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R2340 Issued in MD
Legal business name
KIMMAR MEDICAL ASSOCIATES
Doing business as
KimMar Nursing Services
Practice address
7231 Ritchie Hwy
Suite B
Glen Burnie, MD 21061
Phone
(410) 987-6430
Fax
(410) 987-6433
NPI assigned
Jan 26, 2007
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Miss Kim S Swain, ADMINISTRATOR
Title
Administrato
Phone
(410) 987-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R2340 MD Primary

Addresses

Primary practice location

7231 Ritchie Hwy
Suite B
Glen Burnie, MD 21061

Mailing address

7231 Ritchie Hwy
Suite B
Glen Burnie, MD 21061
Phone (410) 987-6430

Other identifiers 2

IdentifierTypeStateIssuer
409296100MedicaidMD
4092961P00MedicaidMD

Other names 2

  • KimMar Nursing Services Doing business as
  • KimMar Medical Associates, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

7231 Ritchie Hwy
Ste B
Glen Burnie, MD 21061
Phone (410) 766-0333

8248 Veterans Hwy
Ste 101
Millersville, MD 21108

8221 Ritchie Hwy
Ste 203
Pasadena, MD 21122

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1659427144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 RITCHIE HWY",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-987-6430",
            "fax_number": "410-987-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 RITCHIE HWY",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-987-6430",
            "fax_number": "410-987-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMAR MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATO",
        "authorized_official_telephone_number": "410-987-6430",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409296100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4092961P00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KimMar Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KimMar Medical Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "KimMar Medical Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.