NPIMap

Organization Active NPI

Residential Service Agency

  • Home Health Agency
  • Gaithersburg, MD
National Provider Identifier
1326405366
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESIDENTIAL SERVICE AGENCY
Practice address
1004 Travis LN
Gaithersburg, MD 20879-3217
Phone
(612) 245-3301
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Habiba A Harun, MBA
Title
Adminstrator
Phone
(612) 245-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1004 Travis LN
Gaithersburg, MD 20879-3217

Mailing address

1004 Travis LN
Gaithersburg, MD 20879-3217
Phone (612) 245-3301

Other names 1

  • Royal Health Senior Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Service Agency2 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": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1326405366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 TRAVIS LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793217",
            "telephone_number": "612-245-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 TRAVIS LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793217",
            "telephone_number": "612-245-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "HARUN",
        "authorized_official_first_name": "HABIBA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "612-245-3301",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Health Senior Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.