NPIMap

Organization Active NPI

Kinder Mender LLC

  • Urgent Care Clinic/Center
  • Timonium, MD
National Provider Identifier
1740704550
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KINDER MENDER LLC
Practice address
1803 York Rd Ste 102
Timonium, MD 21093-5119
Phone
(443) 492-4000
Fax
(443) 492-4010
NPI assigned
Aug 2, 2017
Organization subpart
Yes
Parent organization
KINDER MENDER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Keyvan Rafei, MDNPI 1669417267
Title
Owner
Phone
(240) 506-0739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD Primary

Addresses

Primary practice location

1803 York Rd Ste 102
Timonium, MD 21093-5119

Mailing address

PO Box 65052
Baltimore, MD 21264-5052
Phone (443) 492-4000

Other names 1

  • Kinder Mender, Timonium Other name

National Provider Directory

National Provider Directory
Tax ID family
Kinder Mender5 organizations share this tax ID, including this one
Part of
Kinder Mender

Other organizations with this tax ID 4

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

Locations

1803 York Rd
#102
Timonium, MD 21093
Phone (443) 492-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740704550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65052",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212645052",
            "telephone_number": "443-492-4000",
            "fax_number": "443-492-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 YORK RD STE 102",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935119",
            "telephone_number": "443-492-4000",
            "fax_number": "443-492-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER MENDER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDER MENDER LLC",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RAFEI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-506-0739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinder Mender, Timonium",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.