1. Home
  2. Directory
  3. Maryland
  4. Glen Burnie
  5. Nurse Practitioner
  6. NPI Profile

KENAH ONE HEALTH CARE SERVICES, LLC
NPI 1790329530
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Active since November 05, 2019
7310 RITCHIE HWY STE 612, GLEN BURNIE, MD 21061(443) 491-7854(443) 288-4808 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Oct 14, 2020, Nov 5, 2019 (3 updates tracked since 2019).

About Kenah One Health Care Services, Llc NPPES

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

KENAH ONE HEALTH CARE SERVICES, LLC (NPI 1790329530) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since November 2019. The organization maintains a secondary practice location in Glen Burnie and lists Kulvinder Singh Basra, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790329530
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKENAH ONE HEALTH CARE SERVICES, LLC
Location Address7310 RITCHIE HWY STE 612Glen Burnie, MD 21061-3291
Mailing Address7735 Hollins Chapel CtGlen Burnie, MD 21060-8396 · (443) 491-7854 · Fax (443) 288-4808
Phone(443) 491-7854
Fax(443) 288-4808
Organization SubpartNo
Authorized OfficialKulvinder Singh BasraOffice Manager · (240) 949-4886
Enumeration DateNovember 5, 2019
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1790329530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
7310 RITCHIE HWY STE 612, Glen Burnie, MD 21061
Open in Google Maps ↗

Secondary Practice Location 1

Location 1308 Crain Hwy NGlen Burnie, MD 21061-3090 · Phone (443) 354-3989 · Fax (443) 288-4808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenah One Health Care Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kenah One Health Care Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ketty Ngona, CRNP
Nurse Practitioner
NPI 1962714204
7310 RITCHIE HWY STE 612
Glen Burnie, MD 21061
(443) 491-7854
✔ PECOS✔ Accepts MedicareSame address
Latonya Cotton, LCSW-C
Clinical Social Worker
NPI 1679877609
26637 DUTCHTOWN RD
Still Pond, MD 21667
(410) 708-9597
✔ PECOS33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenah One Health Care Services, LLC's NPI number?

The NPI number for Kenah One Health Care Services, LLC is 1790329530. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Kenah One Health Care Services, LLC located?

Kenah One Health Care Services, LLC is located at 7310 Ritchie Hwy Ste 612, Glen Burnie, MD 21061. The listed phone number is (443) 491-7854.

What is Kenah One Health Care Services, LLC's specialty?

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

Is Kenah One Health Care Services, LLC enrolled in Medicare?

Yes. Kenah One Health Care Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenah One Health Care Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kenah One Health Care Services, LLC, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenah One Health Care Services, LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.