Actioncare Health Health and Human Services Corp

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R3924 Issued in MD

Legal business name

ACTIONCARE HEALTH HEALTH AND HUMAN SERVICES CORP

Practice address

8074 High Castle Rd
Ellicott City, MD 21043-5516

Phone

(410) 480-3200

Fax

(410) 480-3900

NPI assigned

Aug 12, 2017

Organization subpart

Yes

Parent organization

ACTIONCARE HEALTH HEALTH AND HUMAN SERVICES CORP.As reported in NPPES

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

Authorized official

Name

Ninnette Dotsey, RN

Title

Admnistrator

Phone

(703) 725-0969

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• ActionCare Health Services Doing business as

Part of

Actioncare Health Health and Human Services Corp

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502496000000",
    "number": "1043735988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210410505",
            "telephone_number": "703-725-0969",
            "fax_number": "410-480-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 HIGH CASTLE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435516",
            "telephone_number": "410-480-3200",
            "fax_number": "410-480-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIONCARE HEALTH HEALTH AND HUMAN SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIONCARE HEALTH HEALTH AND HUMAN SERVICES CORP.",
        "enumeration_date": "2017-08-12",
        "last_updated": "2017-08-12",
        "status": "A",
        "authorized_official_last_name": "DOTSEY",
        "authorized_official_first_name": "NINNETTE",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "703-725-0969",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R3924",
            "primary": true
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continence Care",
            "state": "MD",
            "license": "R3924",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R3924",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "R3924",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "MD",
            "license": "R3924",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R3924",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "R3924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY",
            "identifier": "R3924",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActionCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2017; 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.