NPIMap

Organization Active NPI

Jaj Health Care Services ,LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Glenn Dale, MD
National Provider Identifier
1144597923
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
JAJ HEALTH CARE SERVICES ,LLC
Practice address
12150 Annapolis Rd # 205
Glenndale, MD 20769
Phone
(202) 361-8012
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Janefrances Ezimorah, CRNP
Title
Clinical Director
Phone
(202) 361-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

12150 Annapolis Rd # 205
Glenndale, MD 20769

Mailing address

12150 Annapolis Rd # 205
Glenndale, MD 20769

Other identifiers 1

IdentifierTypeStateIssuer
442168000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
JMJ Health Care Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1144597923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD # 205",
            "city": "GLENNDALE",
            "state": "MD",
            "postal_code": "20769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD # 205",
            "city": "GLENNDALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "202-361-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAJ HEALTH CARE SERVICES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "EZIMORAH",
        "authorized_official_first_name": "JANEFRANCES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "202-361-8012",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442168000",
            "state": "MD"
        }
    ],
    "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 Nov 22, 2011; 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.