NPIMap

Organization Active NPI

Kenah One Health Care Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Glen Burnie, MD
National Provider Identifier
1861074023
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KENAH ONE HEALTH CARE SERVICES, LLC
Practice address
308 Crain Hwy N
Glen Burnie, MD 21061-3090
Phone
(667) 232-1220
NPI assigned
Apr 26, 2021
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Ketty M Ngona, PMHNPNPI 1962714204
Title
Owner
Phone
(443) 465-9958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

308 Crain Hwy N
Glen Burnie, MD 21061-3090

Mailing address

308 Crain Hwy N
Glen Burnie, MD 21061-3090
Phone (667) 232-1220

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GSUITE

National Provider Directory

National Provider Directory
Tax ID family
Kenah One Health Care Services LLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1861074023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CRAIN HWY N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613090",
            "telephone_number": "667-232-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CRAIN HWY N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613090",
            "telephone_number": "667-232-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAH ONE HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "NGONA",
        "authorized_official_first_name": "KETTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-465-9958",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSUITE",
            "affiliation": "N",
            "address_1": "308 Crain Hwy N",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210613090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.