Procedra, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROCEDRA, LLC

Practice address

8101 Sandy Spring Rd
Laurel, MD 20707

Phone

(571) 268-8720

NPI assigned

Mar 6, 2019

Last updated

Nov 15, 2019By 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

Ahmed AyodejiNPI 1093251126

Title

Owner / President

Phone

(240) 646-4671

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Ayodeji, PHARM.D

  • Specialist
  • Greenbelt, MD
  • NPI 1093251126
  Authorized official Same address or phone

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1053879304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "571-268-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "571-268-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074223",
            "country_code": "US",
            "telephone_number": "571-268-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCEDRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "AYODEJI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "240-646-4671"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Practices of the Natural Care Center LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Pro Sportscare & Rehab LLC
• Progressive Feet LLC
• Progressive Habilitative Services, Inc.
• Project Chesapeake, LLC
• Project Encompass Inc.
• Proshade LLC (Proshade Healthcare)

• Home Health Agency in Laurel, MD
• Providers in Laurel, 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 Nov 15, 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.