NPIMap

Organization Active NPI

Labil/ Labyem LLC.

  • Pediatric Skilled Nursing Facility
  • Waldorf, MD
National Provider Identifier
1417596099
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
LABIL/ LABYEM LLC.
Practice address
9233 Misting CT
Waldorf, MD 20603-5724
Phone
(240) 278-1034
Fax
(301) 638-0108
NPI assigned
Dec 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Mariam OtunbaNPI 1083445738
Title
Admionistrator
Phone
(240) 278-1034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

9233 Misting CT
Waldorf, MD 20603-5724

Mailing address

9233 Misting CT
Waldorf, MD 20603-5724
Phone (240) 278-1034

Other identifiers 1

IdentifierTypeStateIssuer
2722444375MedicaidMD

Other names 1

  • Labyem Health Care Services Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address labyemhealthcare@hotmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1417596099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 MISTING CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035724",
            "telephone_number": "240-278-1034",
            "fax_number": "301-638-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 MISTING CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035724",
            "telephone_number": "240-278-1034",
            "fax_number": "301-638-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABIL/ LABYEM LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "OTUNBA",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "ADMIONISTRATOR",
        "authorized_official_telephone_number": "240-278-1034"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2722444375",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "labyemhealthcare@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email/messaging",
            "address_1": "9233 Misting Ct",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206035724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Labyem Health Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.