NPIMap

Organization Active NPI

Advanced Healthcare and Allied Services, LLC

  • Home Health Agency
  • Greenbelt, MD
National Provider Identifier
1255945242
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANCED HEALTHCARE AND ALLIED SERVICES, LLC
Practice address
6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326
Phone
(301) 765-4576
NPI assigned
Sep 7, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. Gideon Obi
Title
Business Owner
Phone
(301) 765-4576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326

Mailing address

6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326
Phone (301) 765-4576

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@exquisitemd.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Advanced Healthcare and Allied Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1255945242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 101",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706326",
            "telephone_number": "301-765-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 101",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706326",
            "telephone_number": "301-765-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE AND ALLIED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "301-765-4576",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@exquisitemd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6305 Ivy Ln Ste 101",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207706326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.