NPIMap

Organization Active NPI

Empowering Girls 4 Success, Inc

Doing business as Kenyona Davis

  • Child Mental Illness Respite Care
  • Dowell, MD
National Provider Identifier
1801226568
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
EMPOWERING GIRLS 4 SUCCESS, INC
Doing business as
Kenyona Davis
Practice address
771 Belle Field Rd
Suite 136
Dowell, MD 20629-3044
Phone
(202) 729-0018
NPI assigned
Nov 16, 2013
Last updated
Nov 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

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

Authorized official

Name
Ms. Kenyona N DavisNPI 1891138277
Title
Community Therapuetic SVC Provider
Phone
(202) 729-0018

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MD
Respite Care Camp 385HR2050X MD
Child Mental Illness Respite Care 385HR2055X MD Primary
Community/Behavioral Health Agency 251S00000X MD

Addresses

Primary practice location

771 Belle Field Rd
Suite 136
Dowell, MD 20629-3044

Mailing address

771 Belle Field Rd
Suite 136
Dowell, MD 20629-3044
Phone (202) 729-0018

Other names 1

  • Kenyona Davis Doing business as

National Provider Directory

National Provider Directory

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": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1801226568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BELLE FIELD RD",
            "address_2": "SUITE 136",
            "city": "DOWELL",
            "state": "MD",
            "postal_code": "206293044",
            "telephone_number": "202-729-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BELLE FIELD RD",
            "address_2": "SUITE 136",
            "city": "DOWELL",
            "state": "MD",
            "postal_code": "206293044",
            "telephone_number": "202-729-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING GIRLS 4 SUCCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENYONA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COMMUNITY THERAPUETIC SVC PROVIDER",
        "authorized_official_telephone_number": "202-729-0018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenyona Davis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dowell, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.