1St Agile Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

1ST AGILE HOMECARE LLC

Practice address

10911 Pebble Run Dr
Silver Spring, MD 20902-3685

Phone

(301) 802-2685

NPI assigned

Dec 17, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rouguiatou Bah

Title

Owner

Phone

(301) 802-2685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1154969590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 PEBBLE RUN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023685",
            "telephone_number": "301-802-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 PEBBLE RUN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023685",
            "telephone_number": "301-802-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST AGILE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "ROUGUIATOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-802-2685"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.