Individual provider Active NPI

Veronica Remi Mayowa

  • Home Health Aide
  • Riverdale, MD
National Provider Identifier
1114569597
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00178563 Issued in MD
Practice address
5711 Sarvis Ave Ste 608
Riverdale, MD 20737-1394
Phone
(301) 277-4337
Fax
(301) 277-4335
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 A00178563 MD Primary

Addresses

Primary practice location

5711 Sarvis Ave Ste 608
Riverdale, MD 20737-1394

Mailing address

5711 Sarvis Ave Ste 608
Riverdale, MD 20737-1394
Phone (301) 277-4337

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
A00178563MDMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Care Inc PastSince Oct 20, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1114569597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 608",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-277-4337",
            "fax_number": "301-277-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 608",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-277-4337",
            "fax_number": "301-277-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOWA",
        "first_name": "VERONICA",
        "middle_name": "REMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00178563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.