Individual provider Active NPI

Ijoma Okechukwu Ihebinandu, HHA

  • Home Health Aide
  • Landover, MD
National Provider Identifier
1114348406
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA 10243 Issued in DC
Practice address
2310 Brightseat Rd Apt 5
Landover, MD 20785-3552
Phone
(202) 910-7583
NPI assigned
Jan 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA 10243 DC Primary

Addresses

Primary practice location

2310 Brightseat Rd Apt 5
Landover, MD 20785-3552

Mailing address

2310 Brightseat Rd Apt 5
Landover, MD 20785-3552
Phone (202) 910-7583

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

LicenseStateTypeSpecialty
HHA 10243DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1114348406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 BRIGHTSEAT RD APT 5",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853552",
            "telephone_number": "202-910-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BRIGHTSEAT RD APT 5",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853552",
            "telephone_number": "202-910-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEBINANDU",
        "first_name": "IJOMA",
        "middle_name": "OKECHUKWU",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA 10243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.