Active NPI
Jacob Buro
- Home Health Aide
- Upper Marlboro, MD
National Provider Identifier
1386259406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5201 Trotters Glen Dr
Upper Marlboro, MD 20772-2913 - Phone
- (240) 676-3021
- NPI assigned
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5201 Trotters Glen Dr
Upper Marlboro, MD 20772-2913
Mailing address
5201 Trotters Glen Dr
Upper Marlboro, MD 20772-2913
Phone (240) 676-3021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272776330 | Medicaid | DC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1386259406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 TROTTERS GLEN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722913",
"telephone_number": "240-676-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 TROTTERS GLEN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722913",
"telephone_number": "240-676-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURO",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272776330",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "abahomehealth.com",
"affiliation": "N",
"address_1": "5201 Trotters Glen Dr",
"city": "Upper Marlboro",
"state": "MD",
"country_code": "US",
"postal_code": "207722913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.