Active NPI
Suratu Ajoke Afolabi
- Home Health Agency
- Takoma Park, MD
National Provider Identifier
1376884932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 62407
- Practice address
- 6731 New Hampshire Ave
Takoma Park, MD 20912-4863 - Phone
- (301) 712-4967
- NPI assigned
- Mar 7, 2013
- 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 Agency | 251E00000X | 62407 | DC | Primary |
Addresses
Primary practice location
6731 New Hampshire Ave
Takoma Park, MD 20912-4863
Mailing address
6731 New Hampshire Ave Apt 906
Takoma Park, MD 20912-2810
Phone (301) 712-4967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62407 | Other | DC | HOME HEALTH AIDE |
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 |
|---|---|---|---|
| 62407 | DC | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1376884932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE APT 906",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209122810",
"telephone_number": "301-712-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124863",
"telephone_number": "301-712-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFOLABI",
"first_name": "SURATU",
"middle_name": "AJOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "62407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "62407",
"state": "DC"
}
],
"endpoints": [],
"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 Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.