Active NPI
Kimmar Medical Associates
Doing business as KimMar Nursing Services
- Nursing Care Agency
- Glen Burnie, MD
National Provider Identifier
1659427144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R2340
- 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, 2020
- 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
- Miss Kim S Swain, ADMINISTRATOR
- Title
- Administrato
- Phone
- (410) 987-6430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409296100 | Medicaid | MD | |
| 4092961P00 | Medicaid | MD |
Other names 2
- KimMar Nursing Services
- KimMar Medical Associates, LLC
National Provider Directory
National Provider DirectoryLocations
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.