Active NPI
Ecoblossom Inc
- Day Training/Habilitation Specialist
- Baltimore, MD
National Provider Identifier
1477247716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Legal business name
- ECOBLOSSOM INC
- Practice address
- 3815 Fernhill Ave
Baltimore, MD 21215-5618 - Phone
- (667) 127-9262
- NPI assigned
- Jun 8, 2023
- 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
- Augustina Nwakaego Ogbuji, CMT
- Title
- Chief Operations Officer
- Phone
- (667) 217-7962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
3815 Fernhill Ave
Baltimore, MD 21215-5618
Mailing address
3815 Fernhill Ave
Baltimore, MD 21215-5618
Phone (667) 217-9262
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1477247716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 FERNHILL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155618",
"telephone_number": "667-217-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 FERNHILL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155618",
"telephone_number": "667-127-9262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECOBLOSSOM INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "OGBUJI",
"authorized_official_first_name": "AUGUSTINA",
"authorized_official_middle_name": "NWAKAEGO",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "667-217-7962",
"authorized_official_credential": "CMT"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.