NPIMap

Organization Active NPI

Agatha Home Health

  • Home Health Agency
  • Waldorf, MD
National Provider Identifier
1043874282
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGATHA HOME HEALTH
Practice address
2950 Fern Hill PL
Waldorf, MD 20603-4008
Phone
(240) 427-7893
Fax
(301) 645-1121
NPI assigned
Apr 23, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Aaron Payne
Title
Managing Partner
Phone
(240) 427-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2950 Fern Hill PL
Waldorf, MD 20603-4008

Mailing address

2950 Fern Hill PL
Waldorf, MD 20603-4008
Phone (240) 427-7893

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043874282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 FERN HILL PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034008",
            "telephone_number": "240-427-7893",
            "fax_number": "301-645-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 FERN HILL PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034008",
            "telephone_number": "240-427-7893",
            "fax_number": "301-645-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATHA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "240-427-7893"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.