Organization Active NPI

Pleasant Health Services Inc

  • PACE Provider Organization
  • Bethesda, MD
National Provider Identifier
1194049544
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Feb 10, 2011

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)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.