Organization Active NPI

Mustardseed Healthcare Services, LLC

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1053718544
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3304 Issued in MD
Legal business name
MUSTARDSEED HEALTHCARE SERVICES, LLC
Practice address
198 Thomas Johnson Dr
Ste 205
Frederick, MD 21702-4398
Phone
(240) 439-4373
Fax
(240) 439-4396
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Augusta Ndifor, RN
Title
Clinical Director
Phone
(240) 439-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3304 MD Primary

Addresses

Primary practice location

198 Thomas Johnson Dr
Ste 205
Frederick, MD 21702-4398

Mailing address

198 Thomas Johnson Dr
Ste 205
Frederick, MD 21702-4398
Phone (240) 439-4373

Other identifiers 1

IdentifierTypeStateIssuer
628404300MedicaidMD

National Provider Directory

National Provider Directory

Locations

198 Thomas Johnson Dr
Ste 205
Frederick, MD 21702
Phone (301) 473-9000

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1053718544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR",
            "address_2": "STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024398",
            "telephone_number": "240-439-4373",
            "fax_number": "240-439-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR",
            "address_2": "STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024398",
            "telephone_number": "240-439-4373",
            "fax_number": "240-439-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARDSEED HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "NDIFOR",
        "authorized_official_first_name": "AUGUSTA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-439-4373",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628404300",
            "state": "MD"
        }
    ],
    "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 Nov 26, 2014; 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.