Kimbrough Ambulatory Care Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

KIMBROUGH AMBULATORY CARE CENTER

Practice address

2480 Llewellyn Ave
Fort George G Meade, MD 20755-5800

Phone

(301) 677-8771

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie F Conaway-Manson, LPN

Title

LPM

Phone

(301) 677-8771

Specialties & licenses 1

Addresses

Tax ID family

Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Novacare

  • Physical Therapy Clinic/Center
  • Odenton, MD
  • NPI 1972837078
  NPD tax ID
• Rehabcare

  • Skilled Nursing Facility
  • Ellicott City, MD
  • NPI 1720344567
  NPD tax ID

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679622658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 REGIMENT CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBROUGH AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONAWAY-MANSON",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LPM",
        "authorized_official_telephone_number": "301-677-8771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Jones, DDS
• Heidi Carin Nielsen Kaufman, LRD
• Case Keltner
• Jean B Kim, RN
• Kimbrough Amblatory Care Center
• Casey Kara King, LCSW-C
• Laura Anne Kocan, MS, CCC-SLP
• Mark J Krist, LCSW
• Darlene E Kuroda
• Janna Lambson, O.D.

• Nursing Facility/Intermediate Care Facility in Fort George G Meade, MD
• Providers in Fort George G Meade, MD by specialty
• Nursing Facility/Intermediate Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.