Active NPI
Dubols Inc.
- Community Health Registered Nurse
- Laurel, MD
National Provider Identifier
1114633484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Legal business name
- DUBOLS INC.
- Practice address
- 14440 Cherry Lane CT Ste 101
Laurel, MD 20707-4946 - Phone
- (301) 497-8968
- Fax
- (301) 490-8668
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yewande Awoyemi
- Title
- Administrator
- Phone
- (703) 312-1001
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Community Health Registered Nurse | 163WC1500X | Primary | ||
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Home Health Agency | 251E00000X | |||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
14440 Cherry Lane CT Ste 101
Laurel, MD 20707-4946
Mailing address
14440 Cherry Lane CT Ste 101
Laurel, MD 20707-4946
Phone (301) 497-8968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421136700 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WELLSKY | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Dubols Home Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Laurel, MD
- NPI 1407192214
-
- Home Health Agency
- Falls Church, VA
- NPI 1336532787
Locations
14440 Cherry Lane Ct
Ste 101
Laurel, MD 20707
Phone (301) 497-7688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1114633484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14440 CHERRY LANE CT STE 101",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074946",
"telephone_number": "301-497-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14440 CHERRY LANE CT STE 101",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074946",
"telephone_number": "301-497-8968",
"fax_number": "301-490-8668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUBOLS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "AWOYEMI",
"authorized_official_first_name": "YEWANDE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-312-1001",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421136700",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WELLSKY",
"affiliation": "N",
"endpointDescription": "LAUREL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14440 Cherry Lane Ct Ste 101",
"city": "Laurel",
"state": "MD",
"country_code": "US",
"postal_code": "207074946",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.