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KAIROS HEALTHCARE SERVICES
NPI 1063170272
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since December 04, 2021
10601 BIRDIE LN, UPPER MARLBORO, MD 20774(240) 544-8190(240) 200-7862 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 9, 2024, May 3, 2023, Dec 4, 2021 (3 updates tracked since 2021).

About Kairos Healthcare Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAIROS HEALTHCARE SERVICES (NPI 1063170272) is a healthcare organization registered as a psychiatric/mental health in Upper Marlboro, Maryland and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Manassas and lists Ogechukwu I Igbo, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063170272
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKAIROS HEALTHCARE SERVICES LLC
Location Address10601 BIRDIE LNUpper Marlboro, MD 20774-6022
Mailing Address10601 Birdie LnUpper Marlboro, MD 20774-6022 · (240) 544-8190 · Fax (240) 200-7862
Phone(240) 544-8190
Fax(240) 200-7862
Organization SubpartNo
Authorized OfficialOgechukwu I IgboPsychiatric Nurse Practitioner · (240) 544-8190
Enumeration DateDecember 4, 2021
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1063170272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10601 BIRDIE LN, Upper Marlboro, MD 20774
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Other Names 1

Doing Business AsKairos Healthcare Services

Secondary Practice Location 1

Location 110432 Balls Ford RdManassas, VA 20109-2514 · Phone (240) 544-8190 · Fax (240) 200-7862

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAIROS BEHAVIORAL SERVICES
Early Intervention Provider Agency
10601 BIRDIE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 272-5016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kairos Healthcare Services LLC's NPI number?

The NPI number for Kairos Healthcare Services LLC is 1063170272. It was assigned to this organization in the NPPES registry on December 4, 2021. The provider is doing business as Kairos Healthcare Services.

Where is Kairos Healthcare Services LLC located?

Kairos Healthcare Services LLC is located at 10601 Birdie Ln, Upper Marlboro, MD 20774. The listed phone number is (240) 544-8190.

What is Kairos Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kairos Healthcare Services LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.