Active NPI
Kuumba Community Health and Wellness Center Inc
Doing business as New Horizons Healthcare
- Federally Qualified Health Center (FQHC)
- Roanoke, VA
National Provider Identifier
1952774358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- KUUMBA COMMUNITY HEALTH AND WELLNESS CENTER INC
- Doing business as
- New Horizons Healthcare
- Practice address
- 1215 3Rd St SW
Suite a
Roanoke, VA 24016-4611 - Phone
- (540) 857-9700
- Fax
- (540) 857-9709
- NPI assigned
- Nov 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Stewart
- Title
- Ceo
- Phone
- (540) 861-1260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1215 3Rd St SW
Suite a
Roanoke, VA 24016-4611
Mailing address
1215 3Rd St SW
Suite a
Roanoke, VA 24016-4611
Phone (540) 857-9700
Other names 1
- New Horizons Healthcare
National Provider Directory
National Provider DirectoryLocations
1215 3rd St SW
Ste A
Roanoke, VA 24016
Phone (540) 857-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1952774358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 3RD ST SW",
"address_2": "SUITE A",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164611",
"telephone_number": "540-857-9700",
"fax_number": "540-857-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 3RD ST SW",
"address_2": "SUITE A",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164611",
"telephone_number": "540-857-9700",
"fax_number": "540-857-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUUMBA COMMUNITY HEALTH AND WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-06",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "540-861-1260"
},
"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 Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Horizons Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
- Kuumba Comm Health & Wellness Center, Inc (New Horizons Healthcare Pharmacy)
- Kuumba Community Health & Wellness Center, Inc. (New Horizons Health Care Pharmacy)
- Kuumba Community Health & Wellness Center, Inc. (New Horizons Healthcare)
- Kuumba Community Health & Wellness Center, Inc. (New Horizons Healthcare, Valley View)
- Kuumba Community Health & Wellness, Inc. (New Horizons Dental Care Southeast)
- Kuumba Community Health and Wellness Center Inc. (New Horizons Healthcare)
- Kuumba Health and Wellness Center (New Horizons Dental Care)
- Maryia Kvashenka, DDS
- James Kwok
- Abby Elaine Kyle, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.