Individual provider Active NPI

Namdiogou Nagou

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1033779301
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R4373 Issued in MD
Practice address
6395 Betty Linton LN
Frederick, MD 21703-7358
Phone
(240) 464-5866
Fax
(301) 740-6422
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R4373 MD Primary

Addresses

Primary practice location

6395 Betty Linton LN
Frederick, MD 21703-7358

Mailing address

6395 Betty Linton LN
Frederick, MD 21703-7358
Phone (240) 464-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R4373MDMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Helenvic Home Care, LLC Home Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1033779301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 BETTY LINTON LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037358",
            "telephone_number": "240-464-5866",
            "fax_number": "301-740-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 BETTY LINTON LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037358",
            "telephone_number": "240-464-5866",
            "fax_number": "301-740-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGOU",
        "first_name": "NAMDIOGOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.