Organization Active NPI

Cottage Home Care Maryland LLC

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1407660764
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COTTAGE HOME CARE MARYLAND LLC
Practice address
4027 Eastern Ave
Baltimore, MD 21224-4226
Phone
(516) 367-2266
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Navin Shivpal
Title
Ceo
Phone
(516) 367-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4027 Eastern Ave
Baltimore, MD 21224-4226

Mailing address

10321 98TH St
Ozone Park, NY 11417-1644
Phone (516) 367-2266

National Provider Directory

National Provider Directory

Locations

4027 Eastern Ave
Baltimore, MD 21224

10321 98th St
Ozone Park, NY 11417

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1407660764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 98TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171644",
            "telephone_number": "516-367-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244226",
            "telephone_number": "516-367-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE HOME CARE MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SHIVPAL",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-367-2266"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.