Active NPI
Kaygee40, Incorporation
- Nursing Care Agency
- Bowie, MD
National Provider Identifier
1992219299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R4113
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Carolkay Healthcare Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Bowie, MD
- NPI 1275930711
-
- Home Health Agency
- Bowie, MD
- NPI 1508370891
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.