NPIMap

Organization Active NPI

Kuumba Community Health & Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke, VA
National Provider Identifier
1922552512
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KUUMBA COMMUNITY HEALTH & WELLNESS, INC.
Practice address
321 Tazewell Ave SE
Roanoke, VA 24013-1445
Phone
(540) 362-0360
Fax
(540) 362-1448
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Eileen G Lepro, MPH
Title
Ceo
Phone
(540) 362-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

321 Tazewell Ave SE
Roanoke, VA 24013-1445

Mailing address

321 Tazewell Ave SE
Roanoke, VA 24013-1445
Phone (540) 362-0360

Other names 1

  • New Horizons Dental Care Southeast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Healthcare8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

321 Tazewell Ave SE
Roanoke, VA 24013
Phone (540) 362-0360

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1922552512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 TAZEWELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240131445",
            "telephone_number": "540-362-0360",
            "fax_number": "540-362-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 TAZEWELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240131445",
            "telephone_number": "540-362-0360",
            "fax_number": "540-362-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUUMBA COMMUNITY HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "LEPRO",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-362-0360",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Dental Care Southeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.