NPIMap

Organization Active NPI

Sacred Space Home Care LLC

  • In Home Supportive Care Agency
  • Silver Spring, MD
National Provider Identifier
1366199606
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SACRED SPACE HOME CARE LLC
Practice address
8710 Cameron St Unit 904
Silver Spring, MD 20910-3761
Phone
(240) 923-1599
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Ayesha Mahdi
Title
Owner
Phone
(240) 923-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8710 Cameron St Unit 904
Silver Spring, MD 20910-3761

Mailing address

8710 Cameron St Unit 904
Silver Spring, MD 20910-3761
Phone (240) 923-1599

National Provider Directory

National Provider Directory
Tax ID family
Sacred Space Home Care LLC2 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": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1366199606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 CAMERON ST UNIT 904",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103761",
            "telephone_number": "240-923-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 CAMERON ST UNIT 904",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103761",
            "telephone_number": "240-923-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-923-1599"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.