Organization Active NPI

Express Home & Renal Healthcare, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kensington, MD
National Provider Identifier
1942991609
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Practice address
10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909
Phone
(301) 825-5900
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Solomon M Fon
Title
Owner
Phone
(301) 704-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909

Mailing address

10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909
Phone (301) 825-5900

National Provider Directory

National Provider Directory

Locations

10400 Connecticut Ave
Ste 602
Kensington, MD 20895
Phone (301) 704-2667

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1942991609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 602",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953909",
            "telephone_number": "301-825-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 602",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953909",
            "telephone_number": "301-825-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HOME & RENAL HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-704-2667"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.