Organization Active NPI

HHA

  • Home Health Agency
  • Hyattsville, MD
National Provider Identifier
1083090708
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA11393 Issued in DC
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
CNAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
061628877MedicaidDC

Other names 1

  • CNA Doing business as

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.

Verify at the official NPI Registry.