Healthcare Provider Details

I. General information

NPI: 1255857405
Provider Name (Legal Business Name): KINARA HEALTH AND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7603 GEORGIA AVE NW STE 301
WASHINGTON DC
20012
US

IV. Provider business mailing address

6140 NEWPORT TER
FREDERICK MD
21701-7602
US

V. Phone/Fax

Practice location:
  • Phone: 240-422-6522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE ADOKO
Title or Position: CEO
Credential:
Phone: 240-422-6522