Individual provider Active NPI

Mohamed Jimmy Munisi

  • Home Health Aide
  • Gaithersburg, MD
National Provider Identifier
1437023165
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00232006 Issued in MD
Practice address
18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552
Phone
(240) 252-7974
NPI assigned
Oct 4, 2025
Last updated
Oct 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X A00232006 MD
Home Health Aide 374U00000X A00232006 MD Primary

Addresses

Primary practice location

18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552

Mailing address

18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552
Phone (240) 252-7974

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

LicenseStateTypeSpecialty
A00232006MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1437023165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793552",
            "telephone_number": "240-252-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793552",
            "telephone_number": "240-252-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNISI",
        "first_name": "MOHAMED",
        "middle_name": "JIMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "A00232006",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00232006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.