Organization Active NPI

Josephine's Durable Medical Equp. Supplies

  • Home Health Agency
  • Aberdeen, MD
National Provider Identifier
1164479689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12203407 Issued in MD
Legal business name
JOSEPHINE'S DURABLE MEDICAL EQUP. SUPPLIES
Practice address
23 Defense Dr
Aberdeen, MD 21001-3805
Phone
(410) 306-6017
Fax
(410) 306-6117
NPI assigned
May 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Josephine Santucci
Title
Owner
Phone
(410) 306-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12203407 MD Primary

Addresses

Primary practice location

23 Defense Dr
Aberdeen, MD 21001-3805

Mailing address

23 Defense Dr
Aberdeen, MD 21001-3805
Phone (410) 306-6017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164479689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DEFENSE DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013805",
            "telephone_number": "410-306-6017",
            "fax_number": "410-306-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DEFENSE DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013805",
            "telephone_number": "410-306-6017",
            "fax_number": "410-306-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE'S DURABLE MEDICAL EQUP. SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTUCCI",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-306-6017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "12203407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.