Nightingale Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2840 Issued in MD

Legal business name

NIGHTINGALE HEALTH SERVICES

Practice address

13002 Ledo Creek Ter
Beltsville, MD 20705-5105

Phone

(240) 602-6717

Fax

(240) 547-1161

NPI assigned

Apr 12, 2010

Last updated

Apr 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gorden Yella Achu, LPN

Title

Ceo/Administrator

Phone

(240) 602-6717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1053637363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 LEDO CREEK TER",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207055105",
            "telephone_number": "240-602-6717",
            "fax_number": "240-547-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 LEDO CREEK TER",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207055105",
            "telephone_number": "240-602-6717",
            "fax_number": "240-547-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "ACHU",
        "authorized_official_first_name": "GORDEN",
        "authorized_official_middle_name": "YELLA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "240-602-6717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.