Active NPI
Jomesa De'Lice Boone
- Home Health Aide
- Columbia, MD
National Provider Identifier
1174095269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- RSA-02344
- Practice address
- 10411 Hickory Ridge Rd Apt B
Columbia, MD 21044-4631 - Phone
- (443) 518-0096
- NPI assigned
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | MT0016411 | MD | |
| Home Health Aide | 374U00000X | RSA-02344 | MD | Primary |
Addresses
Primary practice location
10411 Hickory Ridge Rd Apt B
Columbia, MD 21044-4631
Mailing address
10411 Hickory Ridge Rd Apt B
Columbia, MD 21044-4631
Phone (410) 689-5876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0016411 | MD | MD | Personal Care Attendant |
| RSA-02344 | MD | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Cares, LLC | Single Specialty | Current | Accepting new patients |
| Jomesa de'Lice Boone | Single Specialty | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1174095269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 HICKORY RIDGE RD APT B",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444631",
"telephone_number": "410-689-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 HICKORY RIDGE RD APT B",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444631",
"telephone_number": "443-518-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "JOMESA",
"middle_name": "DE'LICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-30",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MD",
"license": "MT0016411",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "MD",
"license": "RSA-02344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.