KBM HEALTH CARE AGENCY (NPI# 1922342914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922342914 |
| Entity Type | Organization |
| Organization Name | KBM HEALTH CARE AGENCY |
| Practice Address |
9400 Buena Vista Ave Lanham MD 20706-6736 |
| Practice Telephone | 3012005438 |
| Practice Fax Number | 1866707857 |
| Mailing Telephone | 3012005438 |
| Mailing Fax Number | 1866707857 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | BERNADETTE S KAMARA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3012005438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 9354000 | 05 | |
| MD | 93540000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | KBM HEALTH CARE AGENCY LLC | 6315 Seabrook Road, Suite 105, Lanham, Maryland 20706 |
| Street Address |
9400 BUENA VISTA AVE |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598931 | Eagle Nursing & Healthcare Services, Inc | Home Health | 9400 Buena Vista Ave, Lanham, MD 20706-3006 | 2017-10-03 |
| 1033669379 | Stella Ajong Acha | Home Health Aide | 9400 Buena Vista Ave, Lanham, MD 20706-3006 | 2016-10-11 |
| 1790187995 | Taiwo Fakeye | Home Health Aide | 9400 Buena Vista Ave, Lanham, MD 20706-3006 | 2014-09-18 |
| 1447659024 | Stephen Ogwu | Home Health Aide | 9400 Buena Vista Ave, Lanham, MD 20706-3006 | 2014-08-19 |
| 1912243320 | Tri-star Nursing Services and Equipment, LLC | Durable Medical Equipment & Medical Supplies | 9400 Buena Vista Ave, Lanham, MD 20706-3006 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799230 | Allied Care Management LLC | Home Health | 9420 Annapolis Rd Ste 307, Lanham, MD 20706-3078 | 2020-08-09 |
| 1013547991 | Absolute Grace Healthcare Services LLC | Home Health | 9002 Mchenry Ln, Lanham, MD 20706-4156 | 2020-01-20 |
| 1407496243 | Falcon Home Healthcare Agency | Home Health | 8855 Annapolis Rd Ste 205, Lanham, MD 20706-2942 | 2020-01-09 |
| 1326690983 | Restoration Health Services Incorporated | Home Health | 7224 Sunrise Dr, Lanham, MD 20706-1238 | 2019-07-14 |
| 1851895833 | Angela Starks | Home Health | 5403 Barbara Dr, Lanham, MD 20706-1968 | 2018-03-22 |
| 1518474980 | Janet Mabinty Saidu | Home Health | 5013 Baltimore Ln, Lanham, MD 20706-2018 | 2018-01-06 |
| 1174037931 | Peace of Mind Homecare, LLC | Home Health | 2756 Zeek Ln, Lanham, MD 20706-1405 | 2017-11-30 |
| 1386167849 | Salma Aliyu | Home Health | 8730 Brae Brooke Dr, Lanham, MD 20706-3816 | 2017-07-17 |
| 1386166445 | Marencia Abunjung Gakeh | Home Health | 6713 Terra Alta Dr, Lanham, MD 20706-3747 | 2017-07-11 |
| 1093237307 | Akye Nchang Ambe-ntonifor | Home Health | 7042 Palamar Turn, Lanham, MD 20706-2168 | 2017-07-10 |
| Find all providers in LANHAM | ||||
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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.