AMC Support Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMC SUPPORT SERVICES

Practice address

3475 Leonardtown Rd
Waldorf, MD 20601-3678

Phone

(240) 413-9916

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Komrabai Obai Bangura

Title

Administrator

Phone

(240) 413-9916

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1205437894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "240-413-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "240-413-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "KOMRABAI",
        "authorized_official_middle_name": "OBAI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-413-9916"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526475650062",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amcsupportservices",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3475 Leonardtown Rd",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206013678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.