Active NPI
Charlotte Enyong Obi
- Home Health Aide
- Takoma Park, MD
National Provider Identifier
1376310532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA200003229
- Practice address
- 780 Fairview Ave
Takoma Park, MD 20912-5978 - Phone
- (240) 791-2245
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200003229 | DC | Primary |
Addresses
Primary practice location
780 Fairview Ave
Takoma Park, MD 20912-5978
Mailing address
780 Fairview Ave
Takoma Park, MD 20912-5978
Phone (240) 791-2245
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | abahomehealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA200003229 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1376310532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 FAIRVIEW AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209125978",
"telephone_number": "240-791-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 FAIRVIEW AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209125978",
"telephone_number": "240-791-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENYONG OBI",
"first_name": "CHARLOTTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200003229",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "abahomehealth.com",
"affiliation": "N",
"address_1": "780 Fairview Ave",
"city": "Takoma Park",
"state": "MD",
"country_code": "US",
"postal_code": "209125978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.