Organization Active NPI

Kaygee40, Incorporation

  • Nursing Care Agency
  • Bowie, MD
National Provider Identifier
1992219299
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R4113 Issued in MD
Legal business name
KAYGEE40, INCORPORATION
Practice address
6911 Laurel Bowie Rd Ste 303
Bowie, MD 20715-1712
Phone
(301) 704-5094
Fax
(240) 245-4232
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Olukayode Taiwo, RN, MSN, MBA
Title
Ceo/Administrator
Phone
(301) 704-5094

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X R4113 MD
Home Health Agency 251E00000X R4113 MD
Home Infusion Agency 251F00000X R4113 MD
Nursing Care Agency 251J00000X R4113 MD Primary
In Home Supportive Care Agency 253Z00000X R4113 MD

Addresses

Primary practice location

6911 Laurel Bowie Rd Ste 303
Bowie, MD 20715-1712

Mailing address

12800 Willow Marsh LN
Bowie, MD 20720-4692

Other practice location 1

12800 Willow Marsh Ln
Bowie, MD 20720-4692
Phone (301) 704-5094

Other names 1

  • CAROLKAY HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolkay Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6911 Laurel Bowie Rd
Ste 303
Bowie, MD 20715
Phone (301) 704-5094

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1992219299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 WILLOW MARSH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD STE 303",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-704-5094",
            "fax_number": "240-245-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Willow Marsh Ln",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207204692",
            "country_code": "US",
            "telephone_number": "301-704-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYGEE40, INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-704-5094",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "R4113",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4113",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MD",
            "license": "R4113",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R4113",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R4113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLKAY HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.