Individual provider Active NPI

Andra Umeh

  • Adult Care Home Facility
  • Silver Spring, MD
National Provider Identifier
1235714866
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
R4568 Issued in MD
Practice address
1244 Cresthaven Dr
Silver Spring, MD 20903-1103
Phone
(301) 332-2501
Fax
(301) 434-1938
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X R4568 MD Primary

Addresses

Primary practice location

1244 Cresthaven Dr
Silver Spring, MD 20903-1103

Mailing address

1244 Cresthaven Dr
Silver Spring, MD 20903-1103
Phone (301) 332-2501

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

State licenses

LicenseStateTypeSpecialty
R4568MDMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Touch Healthcare Solutions CurrentSince Mar 21, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235714866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 CRESTHAVEN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031103",
            "telephone_number": "301-332-2501",
            "fax_number": "301-434-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CRESTHAVEN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031103",
            "telephone_number": "301-332-2501",
            "fax_number": "301-434-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEH",
        "first_name": "ANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MD",
            "license": "R4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.