Blue Orchid Homecare Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLUE ORCHID HOMECARE AGENCY LLC

Practice address

12105 Chip Shot LN
Upper Marlboro, MD 20772-7963

Phone

(202) 841-7676

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Malcolm Hayes

Title

Owner

Phone

(202) 841-7676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1235914342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 CHIP SHOT LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 CHIP SHOT LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727963",
            "telephone_number": "202-841-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ORCHID HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-841-7676"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Blackledge, HHA
• Sarsha Blackman, DDS
• Benjamin Blair
• Blaising Fit Mom, LLC
• Jasmine Blake
• Mingo Dewayne Boards
• Rebecca Boateng
• Bendoline Bobimwo
• Fatimoh Bolarinwa
• Chrysan Bolton, RN

• In Home Supportive Care Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.