Healthcare Provider Details

I. General information

NPI: 1225958796
Provider Name (Legal Business Name): KINPACT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SPRING ST STE 121
SILVER SPRING MD
20910-3653
US

IV. Provider business mailing address

1300 SPRING ST STE 121
SILVER SPRING MD
20910-3653
US

V. Phone/Fax

Practice location:
  • Phone: 301-807-2212
  • Fax: 301-200-8949
Mailing address:
  • Phone: 301-807-2212
  • Fax: 301-200-8949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA B TAIWO
Title or Position: OWNER & CEO
Credential:
Phone: 678-480-5216