Active NPI
Eko Elad
- Home Health Aide
- Riverdale, MD
National Provider Identifier
1174921738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA10408
- Practice address
- 6353 64TH Ave Apt C4
Riverdale, MD 20737-1501 - Phone
- (281) 818-1426
- NPI assigned
- Dec 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 | HHA10408 | DC | Primary |
Addresses
Primary practice location
6353 64TH Ave Apt C4
Riverdale, MD 20737-1501
Mailing address
6353 64TH Ave Apt C4
Riverdale, MD 20737-1501
Phone (281) 818-1426
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 |
|---|---|---|---|
| HHA10408 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1174921738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6353 64TH AVE APT C4",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371501",
"telephone_number": "281-818-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6353 64TH AVE APT C4",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371501",
"telephone_number": "281-818-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAD",
"first_name": "EKO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA10408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.