Kemrem Healthcare Limited Liability

Key facts

NPI: 1679287429
Entity type: Organization (NPI type 2)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name: KEMREM HEALTHCARE LIMITED LIABILITY
Practice address: 2333 Baltimore Blvd Ste a
Finksburg, MD 21048-1751
Phone: (410) 900-9929
NPI assigned: Jan 6, 2023
Organization subpart: No

Authorized official

Name: Mrs. Christiana Olayera-Akinboye, NP
Title: Pmhnp-BC
Phone: (410) 900-9929

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Kemrem Healthcare Limited Liability Company Psychiatric/Mental Health Nurse Practitioner · Finksburg, MD · NPI 1437849205

NPPES parent name

Corporate family (same tax ID) 1

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

Kemrem Healthcare Limited Liability Company Psychiatric/Mental Health Nurse Practitioner · Finksburg, MD · NPI 1437849205

NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Carol Garey, LCSW-C Clinical Social Worker · Baltimore, MD · NPI 1366876690

Medicare reassignment NPD MD
Christiana Oluwakemi Olayera-Akinboye, NP Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD · NPI 1235882903

Medicare reassignment NPD MD · PSYCHIATRIC/MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230222001304	MD	Part B Supplier - Clinic/Group Practice	6507239522	Receives reassigned benefits from 2 practitioners Practice locations: Finksburg, MD

National Provider Directory

Tax ID family: Kemrem Healthcare Limited Liability (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X			Yes

Addresses

Primary practice location

2333 Baltimore Blvd Ste a
Finksburg, MD 21048-1751

Mailing address

2408 Henson Dr
Marriottsville, MD 21104-1162
Phone (410) 900-9929

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	Icannotes	Health Information Exchange (HIE)
CONNECT URL	Carecloud	Health Information Exchange (HIE)

Other providers in Finksburg, MD

All providers in Finksburg, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.