Active NPI
Sidique Rivers
- Home Health Agency
- Capitol Heights, MD
National Provider Identifier
1407429780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 600 63Rd St
Capitol Heights, MD 20743-1645 - Phone
- (240) 838-9608
- NPI assigned
- Jul 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | DC |
Addresses
Primary practice location
600 63Rd St
Capitol Heights, MD 20743-1645
Mailing address
600 63Rd St
Capitol Heights, MD 20743-1645
Phone (240) 838-9608
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": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1407429780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 63RD ST",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207431645",
"telephone_number": "240-838-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 63RD ST",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207431645",
"telephone_number": "240-838-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "SIDIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": null,
"primary": false
}
],
"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 Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.