Active NPI
Emile Bulhassan
- Home Health Agency
- Riverdale Park, MD
National Provider Identifier
1194294397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5711 Sarvis Ave # 608
Riverdale Park, MD 20737-1394 - Phone
- (301) 277-4337
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 Agency | 251E00000X | Primary |
Addresses
Primary practice location
5711 Sarvis Ave # 608
Riverdale Park, MD 20737-1394
Mailing address
5711 Sarvis Ave # 608
Riverdale Park, MD 20737-1394
Phone (301) 277-4337
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Care 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.
-
- Developmental Disabilities Clinic/Center
- Riverdale, MD
- NPI 1245376375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1194294397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 SARVIS AVE # 608",
"city": "RIVERDALE PARK",
"state": "MD",
"postal_code": "207371394",
"telephone_number": "301-277-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 SARVIS AVE # 608",
"city": "RIVERDALE PARK",
"state": "MD",
"postal_code": "207371394",
"telephone_number": "301-277-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULHASSAN",
"first_name": "EMILE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.