Individual provider Active NPI

Brenda M Takoh

  • Nurse's Aide
  • Capitol Heights, MD
National Provider Identifier
1396563839
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00216962 Issued in MD
Practice address
4650 Addison Rd
Capitol Heights, MD 20743-1003
Phone
(202) 541-9844
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00216962 MD Primary

Addresses

Primary practice location

4650 Addison Rd
Capitol Heights, MD 20743-1003

Mailing address

3004 Ewell LN
Hyattsville, MD 20785-1961
Phone (240) 761-1623

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
A00216962MDMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Linac Services Inc CurrentSince Oct 6, 2024 Accepting new patients

Locations

4650 Addison Rd
Capitol Heights, MD 20743
Phone (202) 541-9844

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1396563839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 EWELL LN",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207851961",
            "telephone_number": "240-761-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ADDISON RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431003",
            "telephone_number": "202-541-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKOH",
        "first_name": "BRENDA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00216962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.