Organization Active NPI

Caregivers of the Potomac LLC

  • In Home Supportive Care Agency
  • Baltimore, MD
National Provider Identifier
1033743471
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAREGIVERS OF THE POTOMAC LLC
Practice address
3200 Fait Ave Apt C
Baltimore, MD 21224-4045
Phone
(410) 625-1525
NPI assigned
Feb 25, 2020
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Melody WarnerNPI 1467037275
Title
Owner
Phone
(410) 625-1525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3200 Fait Ave Apt C
Baltimore, MD 21224-4045

Mailing address

3717 Boston St # 163
Baltimore, MD 21224-5752

Other identifiers 2

IdentifierTypeStateIssuer
R213590OtherMDRN LICENSE - MELODY WARNER
R4288OtherMDOFFICE OF HEALTHCARE QUALITY LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rn@cotp.care

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1033743471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BOSTON ST # 163",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FAIT AVE APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244045",
            "telephone_number": "410-625-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS OF THE POTOMAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-625-1525"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE - MELODY WARNER",
            "identifier": "R213590",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF HEALTHCARE QUALITY LICENSE NUMBER",
            "identifier": "R4288",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rn@cotp.care",
            "affiliation": "N",
            "address_1": "3200 Fait Ave Apt C",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212244045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.