NPIMap

Organization Active NPI

Medstats Homecare Services, LLC

  • Home Health Agency
  • Columbia, MD
National Provider Identifier
1417320441
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDSTATS HOMECARE SERVICES, LLC
Practice address
10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682
Phone
(443) 492-9556
Fax
(703) 564-1449
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Ayobami Fashina
Title
Owner/Administrator
Phone
(202) 664-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682

Mailing address

10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682
Phone (202) 664-3977

Other names 1

  • Medstats Homecare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1417320441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "202-664-3977",
            "fax_number": "703-564-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "443-492-9556",
            "fax_number": "703-564-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTATS HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "FASHINA",
        "authorized_official_first_name": "AYOBAMI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "202-664-3977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstats Homecare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.