Active NPI
Sunday Iziogo Sr.
- Home Health Aide
- Randallstown, MD
National Provider Identifier
1104255330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA9937
- Practice address
- 20 Coachman CT Apt T1
Randallstown, MD 21133-3105 - Phone
- (443) 985-7383
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA9937 | DC | Primary |
Addresses
Primary practice location
20 Coachman CT Apt T1
Randallstown, MD 21133-3105
Mailing address
20 Coachman CT Apt T1
Randallstown, MD 21133-3105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA9937 | DC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbless Healthcare Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Randallstown, MD
- NPI 1528993730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1104255330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 COACHMAN CT APT T1",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211333105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COACHMAN CT APT T1",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211333105",
"telephone_number": "443-985-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZIOGO",
"first_name": "SUNDAY",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA9937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.