NPIMap

Organization Active NPI

Jeffon Senir Care

  • Home Health Agency
  • Springdale, MD
National Provider Identifier
1265628085
Registry record updated Sep 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060909 Issued in MD
Legal business name
JEFFON SENIR CARE
Practice address
2620 Berrywood LN
Springdale, MD 20774-7514
Phone
(240) 770-7921
NPI assigned
Sep 16, 2007
Last updated
Sep 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2007

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

Authorized official

Name
Mr. Lucas N FonNPI 1548604143
Title
Director
Phone
(240) 461-8569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060909 MD Primary
Nursing Care Agency 251J00000X 0609009 MD
Mental Illness Community Based Residential Treatment Facility 320800000X 060909 MD

Addresses

Primary practice location

2620 Berrywood LN
Springdale, MD 20774-7514

Mailing address

2620 Berrywood LN
Springdale, MD 20774-7514
Phone (240) 770-7921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189900800000",
    "number": "1265628085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 BERRYWOOD LN",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207747514",
            "telephone_number": "240-770-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 BERRYWOOD LN",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207747514",
            "telephone_number": "240-770-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFON SENIR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-16",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-461-8569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "060909",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "0609009",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "060909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; 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.