Active NPI
Mustardseed Healthcare Services, LLC
- Home Health Agency
- Frederick, MD
National Provider Identifier
1053718544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R3304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628404300 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.