Active NPI
N3O Homecare, LLC
- Home Health Agency
- Largo, MD
National Provider Identifier
1083080709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R3887
- Legal business name
- N3O HOMECARE, LLC
- Practice address
- 9701 Apollo Dr
Suite 330
Largo, MD 20774-4783 - Phone
- (301) 358-2804
- Fax
- (301) 542-0184
- NPI assigned
- Aug 17, 2015
- Organization subpart
- Yes
- Parent organization
- N3O ENTERPRISES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Basiru A Samba
- Title
- Ceo
- Phone
- (301) 284-0636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | R3887 | MD | Primary |
Addresses
Primary practice location
9701 Apollo Dr
Suite 330
Largo, MD 20774-4783
Mailing address
9701 Apollo Dr Ste 100
Largo, MD 20774-4785
Phone (301) 358-2804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R3887R | Other | MD | STATE LICENSE |
Other names 1
- N3O Enterprises, LLC
National Provider Directory
National Provider Directory- Tax ID family
- N3O Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Largo, MD
- NPI 1104363464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Bowie, MD
- NPI 1548636269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665705600000",
"number": "1083080709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 APOLLO DR STE 100",
"city": "LARGO",
"state": "MD",
"postal_code": "207744785",
"telephone_number": "301-358-2804",
"fax_number": "301-542-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 APOLLO DR",
"address_2": "SUITE 330",
"city": "LARGO",
"state": "MD",
"postal_code": "207744783",
"telephone_number": "301-358-2804",
"fax_number": "301-542-0184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N3O HOMECARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "N3O ENTERPRISES, LLC",
"enumeration_date": "2015-08-17",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A",
"authorized_official_last_name": "SAMBA",
"authorized_official_first_name": "BASIRU",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-284-0636"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "R3887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "R3887R",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "N3O Enterprises, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "N3O Enterprises, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.