Organization Active NPI

Jemisun Healthcare Services Inc

  • Nursing Care Agency
  • Laurel, MD
National Provider Identifier
1164734604
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
NS0609006 Issued in MD
Legal business name
JEMISUN HEALTHCARE SERVICES INC
Practice address
14201 Laurel Park Dr
Suite 108
Laurel, MD 20707-5203
Phone
(301) 879-2160
Fax
(301) 684-5535
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Judith Nwakanma
Title
President/Ceo
Phone
(301) 351-1329

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NSA-0120 DC
Nursing Care Agency 251J00000X NS0609006 MD Primary
In Home Supportive Care Agency 253Z00000X 040415100 DC
In Home Supportive Care Agency 253Z00000X R2589 MD

Addresses

Primary practice location

14201 Laurel Park Dr
Suite 108
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr
Suite 108
Laurel, MD 20707-5203
Phone (301) 879-2160

National Provider Directory

National Provider Directory

Locations

14201 Laurel Park Dr
Ste 108
Laurel, MD 20707
Phone (301) 879-2160

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1164734604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-879-2160",
            "fax_number": "301-684-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-879-2160",
            "fax_number": "301-684-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMISUN HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "NWAKANMA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-351-1329"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "DC",
            "license": "NSA-0120",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "NS0609006",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "040415100",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.