Active NPI
Jemisun Healthcare Services Inc
- Nursing Care Agency
- Laurel, MD
National Provider Identifier
1164734604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- NS0609006
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.