Active NPI
Elijah Amobi
- Home Health Aide
- Laurel, MD
National Provider Identifier
1174430490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 14740 4TH St Apt 102
Laurel, MD 20707-3880 - Phone
- (667) 256-3679
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
14740 4TH St Apt 102
Laurel, MD 20707-3880
Mailing address
14740 4TH St Apt 102
Laurel, MD 20707-3880
Phone (667) 256-3679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1174430490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14740 4TH ST APT 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073880",
"telephone_number": "667-256-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14740 4TH ST APT 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073880",
"telephone_number": "667-256-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOBI",
"first_name": "ELIJAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.