Active NPI
Simky Family & Healthcare Services
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1164828711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 16873552
- Legal business name
- SIMKY FAMILY & HEALTHCARE SERVICES
- Practice address
- 407 Dennis Magruder Drive
Upper Marlboro, MD 20774 - Phone
- (301) 283-8046
- NPI assigned
- Nov 10, 2014
- Organization subpart
- Yes
- Parent organization
- SIMKY ENTERPRISES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicky Nkechi Odaka, MSW
- Title
- President
- Phone
- (301) 920-4230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 16873552 | MD | Primary |
Addresses
Primary practice location
407 Dennis Magruder Drive
Upper Marlboro, MD 20774
Mailing address
407 Dennis Magruder Dr
Upper Marlboro, MD 20774-2104
Phone (301) 283-8046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16873552 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415577600000",
"number": "1164828711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 DENNIS MAGRUDER DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742104",
"telephone_number": "301-283-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 DENNIS MAGRUDER DRIVE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "301-283-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMKY FAMILY & HEALTHCARE SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIMKY ENTERPRISES",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A",
"authorized_official_last_name": "ODAKA",
"authorized_official_first_name": "NICKY",
"authorized_official_middle_name": "NKECHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-920-4230",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "16873552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16873552",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.