Active NPI
Humphrey Sowho
- Nurse's Aide
- Hyattsville, MD
National Provider Identifier
1114305190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NSA 0419
- Practice address
- 7515 Annapolis Rd
Suite 204
Hyattsville, MD 20784-1740 - Phone
- (301) 423-0535
- NPI assigned
- May 11, 2015
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NSA 0419 | DC | Primary |
Addresses
Primary practice location
7515 Annapolis Rd
Suite 204
Hyattsville, MD 20784-1740
Mailing address
6304 Cheetah CT
Waldorf, MD 20603-4339
Phone (301) 423-0535
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 |
|---|---|---|---|
| NSA 0419 | DC | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlite Care Services, Inc. | Past | Accepting new patients | |
| Starlite Care Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Care Home Facility
- Waldorf, MD
- NPI 1114339140
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Hyattsville, MD
- NPI 1841678315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1114305190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6304 CHEETAH CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034339",
"telephone_number": "301-423-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 ANNAPOLIS RD",
"address_2": "SUITE 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207841740",
"telephone_number": "301-423-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWHO",
"first_name": "HUMPHREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NSA 0419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 12, 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.