Organization Active NPI

Jerome Nyongbela

  • Home Health Agency
  • Hyattsville, MD
National Provider Identifier
1316328123
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA11292 Issued in DC
Legal business name
JEROME NYONGBELA
Practice address
3516 Dean Dr
P5
Hyattsville, MD 20782-1212
Phone
(202) 640-8916
NPI assigned
Jun 17, 2015
Organization subpart
Yes
Parent organization
HOME HEALTH AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Kehbila E Bayuga
Title
Home Health Aide
Phone
(202) 640-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA11292 DC Primary

Addresses

Primary practice location

3516 Dean Dr
P5
Hyattsville, MD 20782-1212

Mailing address

3516 Dean Dr
P5
Hyattsville, MD 20782-1212
Phone (202) 640-8916

Other names 1

  • BRIGHT STAR 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": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1316328123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 DEAN DR",
            "address_2": "P5",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821212",
            "telephone_number": "202-640-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 DEAN DR",
            "address_2": "P5",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821212",
            "telephone_number": "202-640-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME NYONGBELA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME HEALTH AGENCY",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "BAYUGA",
        "authorized_official_first_name": "KEHBILA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "202-640-8916"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA11292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT STAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.