Active NPI
HHA
- Home Health Agency
- Hyattsville, MD
National Provider Identifier
1083090708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA11393
- Legal business name
- HHA
- Doing business as
- CNA
- Practice address
- 3320 Dodge Park Rd Apt 103
Hyattsville, MD 20785-2116 - Phone
- (240) 413-6483
- NPI assigned
- Aug 4, 2015
- Organization subpart
- Yes
- Parent organization
- CNA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amstrong Ajong Njualem
- Title
- HHA
- Phone
- (240) 413-6483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA11393 | DC | Primary |
Addresses
Primary practice location
3320 Dodge Park Rd Apt 103
Hyattsville, MD 20785-2116
Mailing address
3320 Dodge Park Rd Apt 103
Hyattsville, MD 20785-2116
Phone (240) 413-6483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061628877 | Medicaid | DC |
Other names 1
- CNA
National Provider Directory
National Provider Directory- Part of
- JD Nursing Management Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1083090708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 DODGE PARK RD APT 103",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852116",
"telephone_number": "240-413-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 DODGE PARK RD APT 103",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852116",
"telephone_number": "240-413-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HHA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CNA",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "NJUALEM",
"authorized_official_first_name": "AMSTRONG",
"authorized_official_middle_name": "AJONG",
"authorized_official_title_or_position": "HHA",
"authorized_official_telephone_number": "240-413-6483",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "HHA11393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061628877",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CNA",
"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 Aug 4, 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.