Annie Gilliam Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANNIE GILLIAM AGENCY, LLC

Practice address

1610 S Tollgate Rd
Bel Air, MD 21015-5825

Phone

(410) 676-2660

Fax

(410) 676-1116

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Annie Gilliam

Title

Owner

Phone

(410) 676-2660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1033765805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S TOLLGATE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155825",
            "telephone_number": "410-676-2660",
            "fax_number": "410-676-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S TOLLGATE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155825",
            "telephone_number": "410-676-2660",
            "fax_number": "410-676-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE GILLIAM AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-676-2660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bel Air, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.