Organization Active NPI

Beroadside

  • Home Health Agency
  • New Carrollton, MD
National Provider Identifier
1447624804
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEROADSIDE
Practice address
7715 Riverdale Rd Apt 302
New Carrollton, MD 20784-3943
Phone
(202) 413-4797
Fax
(443) 552-7698
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Mr. Onekon Sylvanus
Title
Ceo
Phone
(202) 413-4797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X DC Primary

Addresses

Primary practice location

7715 Riverdale Rd Apt 302
New Carrollton, MD 20784-3943

Mailing address

7715 Riverdale Rd Apt 302
New Carrollton, MD 20784-3943
Phone (202) 413-4797

Other names 1

  • be Former legal business name

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": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1447624804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843943",
            "telephone_number": "202-413-4797",
            "fax_number": "443-552-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843943",
            "telephone_number": "202-413-4797",
            "fax_number": "443-552-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEROADSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SYLVANUS",
        "authorized_official_first_name": "ONEKON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-413-4797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "be",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.