Laverne Sylvia Cephas

Key facts

NPI

1225577828

Entity type

Individual (NPI type 1)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Practice address

9320 Annapolis Rd
Suite 210
Lanham, MD 20706-3100

Phone

(301) 577-4077

Fax

(301) 577-4577

NPI assigned

Feb 15, 2017

Sex

Female

Sole proprietor

Yes

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.

• Qualicare Medical Supplies LLC Durable Medical Equipment & Medical Supplies · Lanham, MD · NPI 1114446762
  NPD Authorized official DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2017.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1225577828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ANNAPOLIS RD",
            "address_2": "SUITE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063100",
            "telephone_number": "301-577-4077",
            "fax_number": "301-577-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 ANNAPOLIS RD",
            "address_2": "SUITE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063100",
            "telephone_number": "301-577-4077",
            "fax_number": "301-577-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPHAS",
        "first_name": "LAVERNE",
        "middle_name": "SYLVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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