1043100035 NPI number — K AND S HOME HEALTH CARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043100035 NPI number — K AND S HOME HEALTH CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
K AND S HOME HEALTH CARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043100035
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7933 ANNAPOLIS RD # 1051
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANHAM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20706-1309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-531-1930
Provider Business Mailing Address Fax Number:
202-217-2682

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7903 KREEGER DR. SUITE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HYATTSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-531-1930
Provider Business Practice Location Address Fax Number:
202-217-2682
Provider Enumeration Date:
07/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
KARENA
Authorized Official Middle Name:
ROSANNE
Authorized Official Title or Position:
OWNER/OPERATOR
Authorized Official Telephone Number:
240-531-1930

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com