Provider Demographics
NPI:1023787405
Name:KMA HEALTH SERVICES MD, INC.
Entity type:Organization
Organization Name:KMA HEALTH SERVICES MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELEHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-558-8804
Mailing Address - Street 1:16618 CYPRESS BAY LN
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-8002
Mailing Address - Country:US
Mailing Address - Phone:202-558-0084
Mailing Address - Fax:
Practice Address - Street 1:12501 PROSPERITY DR STE 315
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1689
Practice Address - Country:US
Practice Address - Phone:202-558-8804
Practice Address - Fax:202-722-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities