Organization Active NPI

Blood Boss

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1417662412
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOOD BOSS
Practice address
1948 W Fayette St
Baltimore, MD 21223-1649
Phone
(443) 934-1478
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Astria Coles
Title
Owner
Phone
(443) 934-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1948 W Fayette St
Baltimore, MD 21223-1649

Mailing address

1948 W Fayette St
Baltimore, MD 21223-1649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1417662412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231649",
            "telephone_number": "443-934-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD BOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "ASTRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-934-1478"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Jan 16, 2023; 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.