Active NPI
Suggero Healthcare Services LLC
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1447686118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUGGERO HEALTHCARE SERVICES LLC
- Practice address
- 11405 Villa CT
Upper Marlboro, MD 20774-5702 - Phone
- (718) 309-1190
- NPI assigned
- Sep 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Babatunde Olujobi, CRNP-PMH
- Title
- Director
- Phone
- (718) 309-1190
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN202077 | MD | |
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
11405 Villa CT
Upper Marlboro, MD 20774-5702
Mailing address
11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone (718) 309-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/25683/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Upper Marlboro, MD
- NPI 1912678244
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1447686118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11405 VILLA CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745702",
"telephone_number": "718-309-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11405 VILLA CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745702",
"telephone_number": "718-309-1190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGGERO HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "OLUJOBI",
"authorized_official_first_name": "BABATUNDE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-309-1190",
"authorized_official_credential": "CRNP-PMH"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MD",
"license": "RN202077",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.