Organization Active NPI

Esiacare LLC

  • Ambulatory Family Planning Facility
  • Baltimore, MD
National Provider Identifier
1154920635
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
ESIACARE LLC
Practice address
5508 Harford Rd
Baltimore, MD 21214-2231
Phone
(201) 450-5749
NPI assigned
Oct 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Authorized official

Name
Grace Agboh
Title
CRNP
Phone
(201) 450-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

5508 Harford Rd
Baltimore, MD 21214-2231

Mailing address

8 Dunhaven PL Apt 1a
Nottingham, MD 21236-7545

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1154920635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DUNHAVEN PL APT 1A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212367545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142231",
            "telephone_number": "201-450-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESIACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "AGBOH",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "201-450-5793"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "5508 Harford Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212142231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.