KCM RESIDENTIAL CARE SOULTIONS LLC – NPI #1104705771
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

KCM RESIDENTIAL CARE SOULTIONS LLC is a community based residential treatment facility located in NEWARK, DE. NPPES has assigned the NPI number 1104705771 to KCM RESIDENTIAL CARE SOULTIONS LLC on August 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KCM RESIDENTIAL CARE SOULTIONS LLC below.

NPI Profile for
KCM RESIDENTIAL CARE SOULTIONS LLC

NPI Number
1104705771
Enumeration Date

(about 9 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KCM RESIDENTIAL CARE SOULTIONS LLC
Primary location
30 PRESTBURY SQ STE 322
NEWARK, DE 19713-3237
Phone: (302) 295-1098 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRYSTAL AMOAH
CEO
Phone: (484) 620-5677
Updated
Certification Date
Aug 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.