NPIMap

Organization Active NPI

Watermark Health Services LLC

  • Home Health Agency
  • White Marsh, MD
National Provider Identifier
1508245564
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3747 Issued in MD
Legal business name
WATERMARK HEALTH SERVICES LLC
Practice address
11511 Ridgedale Dr
White Marsh, MD 21162-1146
Phone
(410) 230-1840
NPI assigned
May 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Authorized official

Name
Mr. Babajide Johnson Adedipe, LPN
Title
Administrator
Phone
(410) 262-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3747 MD Primary

Addresses

Primary practice location

11511 Ridgedale Dr
White Marsh, MD 21162-1146

Mailing address

11511 Ridgedale Dr
White Marsh, MD 21162-1146
Phone (410) 230-1840

National Provider Directory

National Provider Directory
Tax ID family
Watermark Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1508245564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 RIDGEDALE DR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621146",
            "telephone_number": "410-230-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 RIDGEDALE DR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621146",
            "telephone_number": "410-230-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "ADEDIPE",
        "authorized_official_first_name": "BABAJIDE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-262-7321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

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