Active NPI
Stanley Ijomoh
- Nurse's Aide
- Laurel, MD
National Provider Identifier
1184070849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00155945
- Practice address
- 601 7TH St Ste 203
Laurel, MD 20707-4011 - Phone
- (301) 933-8188
- NPI assigned
- May 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA12011 | DC | |
| Nurse's Aide | 376K00000X | A00155945 | MD | Primary |
Addresses
Primary practice location
601 7TH St Ste 203
Laurel, MD 20707-4011
Mailing address
601 7TH St Ste 203
Laurel, MD 20707-4011
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 |
|---|---|---|---|
| HHA12011 | DC | MD | Home Health Aide |
| A00155945 | MD | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housen Homecare, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lanham, MD
- NPI 1164823928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1184070849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 7TH ST STE 203",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 7TH ST STE 203",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074011",
"telephone_number": "301-933-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJOMOH",
"first_name": "STANLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12011",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00155945",
"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 May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.