Active NPI
Assurance Consultant Inc
- Home Health Registered Nurse
- Woodstock, MD
National Provider Identifier
1215512280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- ASSURANCE CONSULTANT INC
- Practice address
- 10729 Hillingdon Rd
Woodstock, MD 21163-1470 - Phone
- (240) 421-6768
- NPI assigned
- Mar 11, 2021
- 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. Samson Akinsola Omotoye, BS IN NURSING
- Title
- Administrative
- Phone
- (240) 421-6768
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Pediatric Registered Nurse | 163WP0200X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Pediatrics Physician | 208000000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X | |||
| Adult Companion | 372600000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
10729 Hillingdon Rd
Woodstock, MD 21163-1470
Mailing address
10729 Hillingdon Rd
Woodstock, MD 21163-1470
Phone (240) 421-6768
Other names 1
- ACI Home HealthCare Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625616000000",
"number": "1215512280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10729 HILLINGDON RD",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631470",
"telephone_number": "240-421-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 HILLINGDON RD",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631470",
"telephone_number": "240-421-6768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURANCE CONSULTANT INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A",
"authorized_official_last_name": "OMOTOYE",
"authorized_official_first_name": "SAMSON",
"authorized_official_middle_name": "AKINSOLA",
"authorized_official_title_or_position": "ADMINISTRATIVE",
"authorized_official_telephone_number": "240-421-6768",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS IN NURSING"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ACI Home HealthCare Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodstock, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.