NPIMap

Organization Active NPI

Agnes Ioo Healthcare Services, Inc.

  • Home Health Agency
  • Glenn Dale, MD
National Provider Identifier
1124992961
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGNES IOO HEALTHCARE SERVICES, INC.
Practice address
11908 Prospect View Ave
Glenn Dale, MD 20769-9473
Phone
(240) 413-3598
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Agnes OluyemiNPI 1619774288
Title
Owner
Phone
(240) 413-3598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11908 Prospect View Ave
Glenn Dale, MD 20769-9473

Mailing address

11908 Prospect View Ave
Glenn Dale, MD 20769-9473
Phone (240) 413-3598

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1124992961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 PROSPECT VIEW AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699473",
            "telephone_number": "240-413-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 PROSPECT VIEW AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699473",
            "telephone_number": "240-413-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNES IOO HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "OLUYEMI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-413-3598"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.