Organization Active NPI

KBM Health Care Agency

  • Home Health Agency
  • Lanham, MD
National Provider Identifier
1922342914
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KBM HEALTH CARE AGENCY
Practice address
9400 Buena Vista Ave
Lanham, MD 20706-6736
Phone
(301) 200-5438
Fax
(186) 670-7857
NPI assigned
Nov 15, 2012
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Bernadette S KamaraNPI 1235604695
Title
President/Ceo
Phone
(301) 200-5438

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU Primary
Health Service Clinic/Center 261QH0100X NU
Custodial Care Facility 311Z00000X NU

Addresses

Primary practice location

9400 Buena Vista Ave
Lanham, MD 20706-6736

Mailing address

9400 Buena Vista Ave
Lanham, MD 20706-6736
Phone (301) 200-5438

Other identifiers 2

IdentifierTypeStateIssuer
93540000MedicaidMD
9354000MedicaidMD

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1922342914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BUENA VISTA AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066736",
            "telephone_number": "301-200-5438",
            "fax_number": "186-670-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BUENA VISTA AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066736",
            "telephone_number": "301-200-5438",
            "fax_number": "186-670-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBM HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-200-5438"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93540000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9354000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.