Organization Active NPI

I Heal Wounds

  • Wound Care Registered Nurse
  • Montgomery Village, MD
National Provider Identifier
1235958950
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
I HEAL WOUNDS
Practice address
20307 Grazing Way
Montgomery Village, MD 20886-1211
Phone
(240) 521-6092
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mr. Wayne Manning Bass II
Title
Owner
Phone
(240) 521-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

20307 Grazing Way
Montgomery Village, MD 20886-1211

Mailing address

509 Quince Orchard Rd # 112
Gaithersburg, MD 20878-1435
Phone (240) 521-6092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1235958950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 QUINCE ORCHARD RD # 112",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781435",
            "telephone_number": "240-521-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 GRAZING WAY",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861211",
            "telephone_number": "240-521-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I HEAL WOUNDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MANNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-521-6092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.