Organization Active NPI

Simky Family & Healthcare Services

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1164828711
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
16873552 Issued in MD
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 ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16873552MedicaidMD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.