Active NPI
Kma Health Services VA, Inc.
- In Home Supportive Care Agency
- Fairfax, VA
National Provider Identifier
1801466834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KMA HEALTH SERVICES VA, INC.
- Practice address
- 10560 Main St Ste 111
Fairfax, VA 22030-7177 - Phone
- (202) 558-8804
- NPI assigned
- Jun 30, 2021
- 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
- Rosine Beleho
- Title
- Administrator
- Phone
- (202) 558-8804
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
10560 Main St Ste 111
Fairfax, VA 22030-7177
Mailing address
10560 Main St Ste 111
Fairfax, VA 22030-7177
Phone (202) 558-8804
National Provider Directory
National Provider DirectoryLocations
10560 Main St
Ste 111
Fairfax, VA 22030
Phone (202) 558-8804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Washington, DC
- NPI 1295565208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1801466834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 MAIN ST STE 111",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307177",
"telephone_number": "202-558-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 MAIN ST STE 111",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307177",
"telephone_number": "202-558-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMA HEALTH SERVICES VA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "BELEHO",
"authorized_official_first_name": "ROSINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "202-558-8804"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.