Organization Active NPI

My Friends Etreat

  • Home Health Agency
  • Dundalk, MD
National Provider Identifier
1184472151
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY FRIENDS ETREAT
Practice address
2009 Paulette Rd Apt 101
Dundalk, MD 21222-5881
Phone
(443) 453-2872
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ieisha WashingtonNPI 1013765080
Title
Employee
Phone
(443) 453-2872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2009 Paulette Rd Apt 101
Dundalk, MD 21222-5881

Mailing address

2009 Paulette Rd Apt 101
Dundalk, MD 21222-5881
Phone (443) 453-2872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1184472151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 PAULETTE RD APT 101",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225881",
            "telephone_number": "443-453-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 PAULETTE RD APT 101",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225881",
            "telephone_number": "443-453-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIENDS ETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "IEISHA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "443-453-2872"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.