Provider Demographics
NPI:1679831606
Name:CHRISTOPHER KAINGO GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:CHRISTOPHER KAINGO GENERAL PARTNERSHIP
Other - Org Name:EXEC NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAINGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-293-6513
Mailing Address - Street 1:13217 NEW HAMPSHIRE AVE
Mailing Address - Street 2:#4304
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-9998
Mailing Address - Country:US
Mailing Address - Phone:240-293-6513
Mailing Address - Fax:301-917-3230
Practice Address - Street 1:12027 BELTSVILLE DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-4016
Practice Address - Country:US
Practice Address - Phone:240-293-6513
Practice Address - Fax:301-917-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111203251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care