Active NPI
Charles Egbe
- Nursing Home Administrator
- Towson, MD
National Provider Identifier
1417234048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- R3088
- Practice address
- 1055 Taylor Avenue
Suite 304
Towson, MD 21286 - Phone
- (410) 616-9679
- Fax
- (410) 616-9687
- NPI assigned
- Nov 10, 2011
- Last updated
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | R3088 | MD | Primary |
Addresses
Primary practice location
1055 Taylor Avenue
Suite 304
Towson, MD 21286
Mailing address
1055 Taylor Avenue
Suite 304
Towson, MD 21286
Phone (410) 616-9679
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 |
|---|---|---|---|
| R3088 | MD | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Home Health Residential Services Inc | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Home Health Aide
- Baltimore, MD
- NPI 1215439930
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Towson, MD
- NPI 1295214617
-
- Mental Health Counselor
- Towson, MD
- NPI 1851972715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1417234048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 TAYLOR AVENUE",
"address_2": "SUITE 304",
"city": "TOWSON",
"state": "MD",
"postal_code": "21286",
"telephone_number": "410-616-9679",
"fax_number": "410-616-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 TAYLOR AVENUE",
"address_2": "SUITE 304",
"city": "TOWSON",
"state": "MD",
"postal_code": "21286",
"telephone_number": "410-616-9679",
"fax_number": "410-616-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBE",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "MD",
"license": "R3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.