Active NPI
Augustine Jam, HHA
- Home Health Aide
- Takoma Park, MD
National Provider Identifier
1407372014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12961
- Practice address
- 6731 New Hampshire Avenue
Apt 1206
Takoma Park, MD 20912-2816 - Phone
- (240) 713-7137
- NPI assigned
- Aug 15, 2017
- 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 | HHA12961 | DC | Primary |
Addresses
Primary practice location
6731 New Hampshire Avenue
Apt 1206
Takoma Park, MD 20912-2816
Mailing address
6731 New Hampshire Ave Apt 1206
Takoma Park, MD 20912-2816
Phone (240) 713-7137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA12961 | 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 |
|---|---|---|---|
| HHA12961 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407372014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE APT 1206",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209122816",
"telephone_number": "240-713-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVENUE",
"address_2": "APT 1206",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209122816",
"telephone_number": "240-713-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAM",
"first_name": "AUGUSTINE",
"credential": "HHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "HHA12961",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.