Carefirst Community Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R3917 Issued in MD

Legal business name

CAREFIRST COMMUNITY HEALTH, LLC

Practice address

626 Potomac Ave
Hagerstown, MD 21740-3838

Phone

(301) 383-9981

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Alexander Koila Ngati, APRN

Title

Ceo / Owner

Phone

(301) 383-9981

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674864000000",
    "number": "1124573548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403838",
            "telephone_number": "301-383-9981",
            "fax_number": "240-778-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403838",
            "telephone_number": "301-383-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Boyce",
            "state": "VA",
            "postal_code": "226209715",
            "country_code": "US",
            "telephone_number": "540-277-7788",
            "fax_number": "240-778-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREFIRST COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "NGATI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "KOILA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "301-383-9981",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3917",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017454260001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200036900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.