Organization Active NPI

1St Adult N Pediatric Healthcare Services Inc

  • Home Health Agency
  • Bethesda, MD
National Provider Identifier
1063973782
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC
Practice address
4915 Saint Elmo Ave Ste 201
Bethesda, MD 20814-6089
Phone
(301) 383-9755
Fax
(301) 560-4920
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Carolyn Elizabeth Bryant -Taylor
Title
Coo
Phone
(240) 416-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4915 Saint Elmo Ave Ste 201
Bethesda, MD 20814-6089

Mailing address

4915 Saint Elmo Ave Ste 201
Bethesda, MD 20814-6089
Phone (301) 383-9755

Other identifiers 1

IdentifierTypeStateIssuer
801901759MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
1St Adult N Pediatric Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1063973782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 201",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146089",
            "telephone_number": "301-383-9755",
            "fax_number": "301-560-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 201",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146089",
            "telephone_number": "301-383-9755",
            "fax_number": "301-560-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "BRYANT -TAYLOR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-416-1272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801901759",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.