Individual provider Active NPI

Syntiche Hotou Mejonang, HHA

  • Home Health Aide
  • Columbia, MD
National Provider Identifier
1396397212
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14106 Issued in DC
Practice address
5609 Columbia Rd Apt 103
Columbia, MD 21044-5590
Phone
(804) 550-8337
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X HHA14106 DC Primary

Addresses

Primary practice location

5609 Columbia Rd Apt 103
Columbia, MD 21044-5590

Mailing address

5609 Columbia Rd Apt 103
Columbia, MD 21044-5590
Phone (804) 550-8337

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL website

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

LicenseStateTypeSpecialty
HHA14106DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1396397212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 COLUMBIA RD APT 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445590",
            "telephone_number": "804-550-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 COLUMBIA RD APT 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445590",
            "telephone_number": "804-550-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTOU MEJONANG",
        "first_name": "SYNTICHE",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "website",
            "affiliation": "N",
            "address_1": "5609 Columbia Rd Apt 103",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210445590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.