Organization Active NPI

Hephzibah Care Services LLC

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1235376005
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2615 Issued in MD
Legal business name
HEPHZIBAH CARE SERVICES LLC
Practice address
6115 Twilight CT
Baltimore, MD 21206-2270
Phone
(240) 441-0239
Fax
(443) 231-6323
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mrs. Elizabeth Adebowale Ojoye
Title
Administrator
Phone
(240) 441-0239

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2615 MD Primary
Nursing Care Agency 251J00000X R2615 MD
In Home Supportive Care Agency 253Z00000X R2615 MD

Addresses

Primary practice location

6115 Twilight CT
Baltimore, MD 21206-2270

Mailing address

6115 Twilight CT
Baltimore, MD 21206-2270
Phone (240) 441-0239

Other identifiers 1

IdentifierTypeStateIssuer
6432034-00MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1235376005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 TWILIGHT CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062270",
            "telephone_number": "240-441-0239",
            "fax_number": "443-231-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 TWILIGHT CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062270",
            "telephone_number": "240-441-0239",
            "fax_number": "443-231-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHZIBAH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "OJOYE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ADEBOWALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-441-0239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2615",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2615",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6432034-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.