Xavier-Kensington,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15-017 Issued in MD

Legal business name

XAVIER-KENSINGTON,LLC

Practice address

3000 McComas Ave
Kensington, MD 20895-2316

Phone

(301) 933-0060

Fax

(301) 933-4884

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Dee Desai

Title

Administrator

Phone

(301) 933-0060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902806268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MCCOMAS AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952316",
            "telephone_number": "301-933-0060",
            "fax_number": "301-933-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MCCOMAS AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952316",
            "telephone_number": "301-933-0060",
            "fax_number": "301-933-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER-KENSINGTON,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-933-0060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100628",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.