Conventional Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2671 Issued in MD

Legal business name

CONVENTIONAL HEALTH SERVICES, LLC

Practice address

11710 Old Georgetown Rd Apt 1109
1109
Rockville, MD 20852-2681

Phone

(301) 775-1861

Fax

(301) 881-8328

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Telfie Gebeyehu Lakew, REGISTERED NURSE

Title

Administrator

Phone

(301) 775-1861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1316184138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 OLD GEORGETOWN RD APT 1109",
            "address_2": "1109",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522681",
            "telephone_number": "301-775-1861",
            "fax_number": "301-881-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 OLD GEORGETOWN RD APT 1109",
            "address_2": "1109",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522681",
            "telephone_number": "301-775-1861",
            "fax_number": "301-881-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENTIONAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "LAKEW",
        "authorized_official_first_name": "TELFIE",
        "authorized_official_middle_name": "GEBEYEHU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-775-1861",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.