KENAH ONE HEALTH CARE SERVICES, LLC (NPI# 1619598935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619598935 |
| Entity Type | Organization |
| Organization Name | KENAH ONE HEALTH CARE SERVICES, LLC |
| Practice Address |
308 Crain Hwy N Glen Burnie MD 21061-3090 |
| Mailing Address |
7735 Hollins Chapel Ct Glen Burnie MD 21060-8396 |
| Practice Telephone | 6672321220 |
| Practice Fax Number | 4432884808 |
| Mailing Telephone | 6672321220 |
| Mailing Fax Number | 4432884808 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | KETTY NGONA (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6672321220 |
| Authorized Official Credential | CRNP, PMH-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 950021900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790329530 | Kenah One Health Care Services, LLC | Psychologist | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2019-11-05 |
| 1285255307 | Kenah One Health Care Services, LLC | Psychologist | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2020-04-29 |
| 1881215101 | Kenah One Health Care Services, LLC | Clinic/Center | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2020-04-27 |
| Street Address |
308 CRAIN HWY N |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790329530 | Kenah One Health Care Services, LLC | Psychologist | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2019-11-05 |
| 1285255307 | Kenah One Health Care Services, LLC | Psychologist | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2020-04-29 |
| 1881215101 | Kenah One Health Care Services, LLC | Clinic/Center | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186278 | Life Support Clinical Counseling Service LLC/prp | Community/Behavioral Health | 1412 Crain Hwy N Ste 6b, Glen Burnie, MD 21061-9306 | 2020-02-20 |
| 1528606522 | Clarity Wellness Solutions LLC | Community/Behavioral Health | 645 Bracey Dr, Glen Burnie, MD 21060-8597 | 2019-12-20 |
| 1487298436 | Empowering Mind Resource Center | Community/Behavioral Health | 7954 Baltimore Annapolis Blvd # E&f, Glen Burnie, MD 21060-8188 | 2019-11-03 |
| 1245882513 | Collaborative Healing LLC | Community/Behavioral Health | 2301 Dorsey Rd Ste 213, Glen Burnie, MD 21061-3275 | 2019-07-16 |
| 1528629540 | Maryland Virtual Counseling LLC | Community/Behavioral Health | 4 Kuethe Rd, Glen Burnie, MD 21060-7322 | 2019-06-21 |
| 1447748173 | Streams of Hope LLC | Community/Behavioral Health | 2301 Dorsey Rd Ste 214, Glen Burnie, MD 21061-3275 | 2018-04-27 |
| 1255705331 | Kp Counseling Services, Inc. | Community/Behavioral Health | 7229 Ritchie Hwy, Glen Burnie, MD 21061-3038 | 2015-11-30 |
| 1942367222 | Omni House Inc | Community/Behavioral Health | 1421 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2007-01-03 |
| 1629617493 | Collaborative Healing LLC | Community/Behavioral Health | 2301 Dorsey Rd Ste 213, Glen Burnie, MD 21061-3275 | 2019-12-27 |
| 1770149890 | August Rose Health Center, LLC | Community/Behavioral Health | 7477 Baltimore Annapolis Blvd Ste 201, Glen Burnie, MD 21061-3567 | 2019-05-14 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.