Active NPI
Pelagie Pani
- Home Health Agency
- Riverdale, MD
National Provider Identifier
1427508142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- LPN 1005300
- Practice address
- 6205 Kenilworth Ave
Riverdale, MD 20737-1207 - Phone
- (301) 779-3370
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LPN 1005300 | DC | Primary |
Addresses
Primary practice location
6205 Kenilworth Ave
Riverdale, MD 20737-1207
Mailing address
6205 Kenilworth Ave
Riverdale, MD 20737-1207
Phone (301) 779-3370
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 |
|---|---|---|---|
| LPN 1005300 | DC | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1427508142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 KENILWORTH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371207",
"telephone_number": "301-779-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6205 KENILWORTH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371207",
"telephone_number": "301-779-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANI",
"first_name": "PELAGIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "LPN 1005300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.