Organization Active NPI

Adesam Healthcare Services LLC

  • Home Health Agency
  • Laurel, MD
National Provider Identifier
1245061308
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADESAM HEALTHCARE SERVICES LLC
Practice address
8804 Cherry LN
Laurel, MD 20708-1117
Phone
(773) 865-4182
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Samsudeen Jimoh
Title
Ceo
Phone
(773) 865-4182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8804 Cherry LN
Laurel, MD 20708-1117

Mailing address

8804 Cherry LN
Laurel, MD 20708-1117

Other names 1

  • NOT APPLICABLE Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1245061308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081117",
            "telephone_number": "773-865-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADESAM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "JIMOH",
        "authorized_official_first_name": "SAMSUDEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-865-4182"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOT APPLICABLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.