Active NPI
Comfort Johnsom
- Nursing Care Agency
- Burtonsville, MD
National Provider Identifier
1457626236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 1201002
- Practice address
- 4200 Red Maple CT
Burtonsville, MD 20866-1145 - Phone
- (240) 694-7024
- NPI assigned
- Mar 13, 2012
- 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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 1201002 | MD | Primary |
Addresses
Primary practice location
4200 Red Maple CT
Burtonsville, MD 20866-1145
Mailing address
4200 Red Maple CT
Burtonsville, MD 20866-1145
Phone (240) 694-7024
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 |
|---|---|---|---|
| 1201002 | MD | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1457626236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 RED MAPLE CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661145",
"telephone_number": "240-694-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 RED MAPLE CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661145",
"telephone_number": "240-694-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSOM",
"first_name": "COMFORT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MD",
"license": "1201002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.