NPIMap

Organization Active NPI

JD Nursing & Management Services Inc.

  • Home Health Agency
  • Hyattsville, MD
National Provider Identifier
1073996740
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA11368 Issued in DC
Legal business name
JD NURSING & MANAGEMENT SERVICES INC.
Practice address
3823 64TH Ave
#104
Hyattsville, MD 20784-1830
Phone
(240) 413-1511
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Lycia Beyonge Ekolle
Title
HHA
Phone
(240) 413-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA11368 DC Primary

Addresses

Primary practice location

3823 64TH Ave
#104
Hyattsville, MD 20784-1830

Mailing address

3823 64TH Ave
#104
Hyattsville, MD 20784-1830
Phone (240) 413-1511

Other names 1

  • JD nursing & Management services Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JD Nursing Management Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1073996740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 64TH AVE",
            "address_2": "#104",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841830",
            "telephone_number": "240-413-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 64TH AVE",
            "address_2": "#104",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841830",
            "telephone_number": "240-413-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD NURSING & MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "EKOLLE",
        "authorized_official_first_name": "LYCIA",
        "authorized_official_middle_name": "BEYONGE",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "240-413-1511"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA11368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JD nursing & Management services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.