KBC NURSING AGENCY AND HOME HEALTH CARE INC. NPI 1386905735

NPI Information

  • NPI: 1386905735
  • Provider Name: KBC NURSING AGENCY AND HOME HEALTH CARE INC.
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • CLIA Number: 09D1024690
  • Address: 790 FAIRVIEW AVE
    APPT 413
    TAKOMA PARK, MD
    ZIP 20912
  • Phone: (240) 705-0959

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NPI Details

KBC NURSING AGENCY AND HOME HEALTH CARE INC. is a nursing facility intermediate care facility in Takoma Park, MD. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. KBC NURSING AGENCY AND HOME HEALTH CARE INC. NPI is 1386905735. The provider is registered as an organization entity type.

The provider's business location address is:

790 FAIRVIEW AVE
APPT 413
TAKOMA PARK, MD
ZIP 20912-979
Phone: (240) 705-0959

The provider's authorized official is Christine Williams .
The authorized official title is Nurse and has the following contact phone number (202) 291-6973.

The CLIA number assigned to this NPI record is 09D1024690 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2012 and was last updated on 6/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility37DISTRICT OF COLUMBIANo
2313M00000XNursing Facility/Intermediate Care FacilityT-352-174-080-684MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
137MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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