Active NPI
Beulah Nursing Services LLC
- Home Health Agency
- Waldorf, MD
National Provider Identifier
1326617457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BEULAH NURSING SERVICES LLC
- Doing business as
- Beulah Nursing Services, LLC
- Practice address
- 3500 Sugar Maple CT
Waldorf, MD 20602-2625 - Phone
- (301) 395-7874
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adebisi O Showunmi
- Title
- Ceo/Administrator
- Phone
- (301) 395-7874
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3500 Sugar Maple CT
Waldorf, MD 20602-2625
Mailing address
3500 Sugar Maple CT
Waldorf, MD 20602-2625
Phone (301) 395-7874
Other names 1
- Beulah Nursing Services, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Beulah Nursing Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Upper Marlboro, MD
- NPI 1346892742
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine Registered Nurse
- Waldorf, MD
- NPI 1154973311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1326617457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SUGAR MAPLE CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022625",
"telephone_number": "301-395-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SUGAR MAPLE CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022625",
"telephone_number": "301-395-7874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEULAH NURSING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "SHOWUNMI",
"authorized_official_first_name": "ADEBISI",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "301-395-7874"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beulah Nursing Services, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.