Organization Active NPI

Keliz Inc

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1972050219
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KELIZ INC
Practice address
9902 Woodyard Cir
Upper Marlboro, MD 20772-4326
Phone
(202) 294-4558
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Octavie Bongam-Sikod
Title
C.E.O /Director
Phone
(202) 294-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9902 Woodyard Cir
Upper Marlboro, MD 20772-4326

Mailing address

9902 Woodyard Cir
Upper Marlboro, MD 20772-4326
Phone (202) 294-4558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1972050219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 WOODYARD CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724326",
            "telephone_number": "202-294-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 WOODYARD CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724326",
            "telephone_number": "202-294-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELIZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "BONGAM-SIKOD",
        "authorized_official_first_name": "OCTAVIE",
        "authorized_official_title_or_position": "C.E.O /DIRECTOR",
        "authorized_official_telephone_number": "202-294-4558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.