Individual provider Active NPI

Jomesa De'Lice Boone

  • Home Health Aide
  • Columbia, MD
National Provider Identifier
1174095269
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
RSA-02344 Issued in MD
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

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X MT0016411 MD
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MT0016411MDMDPersonal Care Attendant
RSA-02344MDMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Cares, LLC Single Specialty CurrentSince Oct 5, 2025 Accepting new patients
Jomesa de'Lice Boone Single Specialty CurrentSince Aug 18, 2024 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.

Verify at the official NPI Registry.