Individual provider Active NPI

Catherine Ndip Agbor Ndah

  • Home Health Aide
  • Laurel, MD
National Provider Identifier
1114411238
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13752 Issued in DC
Practice address
13606 Oaklands Manor Dr
Laurel, MD 20708-1429
Phone
(240) 476-5993
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 HHA13752 DC Primary

Addresses

Primary practice location

13606 Oaklands Manor Dr
Laurel, MD 20708-1429

Mailing address

13606 Oaklands Manor Dr
Laurel, MD 20708-1429
Phone (240) 476-5993

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
HHA13752DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1114411238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 OAKLANDS MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081429",
            "telephone_number": "240-476-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 OAKLANDS MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081429",
            "telephone_number": "240-476-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAH",
        "first_name": "CATHERINE",
        "middle_name": "NDIP AGBOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.