Williams Agbaje

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA10967 Issued in DC

Practice address

7767 Riverdale Rd Apt 302
New Carrollton, MD 20784-3929

Phone

(240) 413-2908

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265836159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843929",
            "telephone_number": "240-413-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843929",
            "telephone_number": "240-413-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8643 Greenbelt Rd",
            "address_2": "T3",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702414",
            "country_code": "US",
            "telephone_number": "240-413-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBAJE",
        "first_name": "WILLIAMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiodun Aduyemi
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• Advanced Pain Medicine Institute
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• Roland Tampa Afah
• Joanes Agu
• Izuchukwu Isaac Agua
• Okawa Agyebit Adeline
• Ebere Mercy Ahaghotu
• Uzodinma Joseph Ahiwe

• Home Health Aide in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.