Healthcare Provider Details

I. General information

NPI: 1336611011
Provider Name (Legal Business Name): KHANE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22108 WINDING WOODS WAY
CLARKSBURG MD
20871-6366
US

IV. Provider business mailing address

22108 WINDING WOODS WAY
CLARKSBURG MD
20871-6366
US

V. Phone/Fax

Practice location:
  • Phone: 301-765-4798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ADELAIDE ABANKWAH
Title or Position: PRESIDENT
Credential:
Phone: 301-765-4798