Active NPI
Herbert Abifola Ishola
- Home Health Aide
- Landover, MD
National Provider Identifier
1376352179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA200004569
- Practice address
- 2314 Brightseat Rd Apt 6
Landover, MD 20785-3554 - Phone
- (312) 792-5583
- NPI assigned
- Jan 6, 2025
- Sex
- Male
- 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 | HHA200004569 | DC | Primary |
Addresses
Primary practice location
2314 Brightseat Rd Apt 6
Landover, MD 20785-3554
Mailing address
2314 Brightseat Rd Apt 6
Landover, MD 20785-3554
Phone (312) 792-5583
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 |
|---|---|---|---|
| HHA200004569 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1376352179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 BRIGHTSEAT RD APT 6",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207853554",
"telephone_number": "312-792-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 BRIGHTSEAT RD APT 6",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207853554",
"telephone_number": "312-792-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHOLA",
"first_name": "HERBERT",
"middle_name": "ABIFOLA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200004569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.