Organization Active NPI

Chroloma Healthsystem LLC

  • Customized Equipment (DME)
  • Owings Mills, MD
National Provider Identifier
1003109224
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
R3033 Issued in MD
Legal business name
CHROLOMA HEALTHSYSTEM LLC
Practice address
4717 Eiderdown CT
Owings Mills, MD 21117-6212
Phone
(301) 523-1378
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Damatus Nambai
Title
Director
Phone
(301) 523-1378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X R3033 MD Primary

Addresses

Primary practice location

4717 Eiderdown CT
Owings Mills, MD 21117-6212

Mailing address

4717 Eiderdown CT
Owings Mills, MD 21117-6212
Phone (301) 523-1378

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1003109224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 EIDERDOWN CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176212",
            "telephone_number": "301-523-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 EIDERDOWN CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176212",
            "telephone_number": "301-523-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHROLOMA HEALTHSYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "NAMBAI",
        "authorized_official_first_name": "DAMATUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-523-1378"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "R3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.