NPIMap

Organization Active NPI

Neighborhood Nurse, LLC

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1447978457
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEIGHBORHOOD NURSE, LLC
Practice address
3421 Gentle Breeze Dr Ste a
Upper Marlboro, MD 20772-2549
Phone
(443) 529-2027
Fax
(240) 306-9503
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Timika Shante Fisher
Title
Medical Director, Ceo
Phone
(443) 529-2027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3421 Gentle Breeze Dr Ste a
Upper Marlboro, MD 20772-2549

Mailing address

3421 Gentle Breeze Dr
Uppr Marlboro, MD 20772-2549
Phone (144) 352-9202

Other names 1

  • Neighborhood Nurse Home Care Agency Doing business as

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": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1447978457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 GENTLE BREEZE DR",
            "city": "UPPR MARLBORO",
            "state": "MD",
            "postal_code": "207722549",
            "telephone_number": "144-352-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 GENTLE BREEZE DR STE A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722549",
            "telephone_number": "443-529-2027",
            "fax_number": "240-306-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD NURSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TIMIKA",
        "authorized_official_middle_name": "SHANTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, CEO",
        "authorized_official_telephone_number": "443-529-2027"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Nurse Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Nurse Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 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.