Active NPI
Pleasant Health Services Inc
- PACE Provider Organization
- Bethesda, MD
National Provider Identifier
1194049544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- PLEASANT HEALTH SERVICES INC
- Practice address
- 4915 Auburn Ave
C/O Dr. Kaldun Nossuli, Suite 306
Bethesda, MD 20814-2636 - Phone
- (301) 460-6372
- Fax
- (301) 460-1551
- NPI assigned
- Mar 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kayed G Haddad, RN
- Title
- President
- Phone
- (301) 460-6372
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
4915 Auburn Ave
C/O Dr. Kaldun Nossuli, Suite 306
Bethesda, MD 20814-2636
Mailing address
20 Long Green CT
Silver Spring, MD 20906-2043
Phone (301) 460-6372
National Provider Directory
National Provider DirectoryLocations
4915 Auburn Ave
Ste 306
Bethesda, MD 20814
Phone (301) 460-6372
14816 Physicians Ln
Ste 152
Rockville, MD 20850
Phone (240) 453-0000
14816 Physicians Ln
Ste 12
Rockville, MD 20850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297296000000",
"number": "1194049544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LONG GREEN CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062043",
"telephone_number": "301-460-6372",
"fax_number": "301-460-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 AUBURN AVE",
"address_2": "C/O DR. KALDUN NOSSULI, SUITE 306",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142636",
"telephone_number": "301-460-6372",
"fax_number": "301-460-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-15",
"last_updated": "2011-02-10",
"status": "A",
"authorized_official_last_name": "HADDAD",
"authorized_official_first_name": "KAYED",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-460-6372",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.