Active NPI
Phebean Snell
- Home Health Aide
- Hyattsville, MD
National Provider Identifier
1508464694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4444 68TH PL Apt A3
Hyattsville, MD 20784-2033 - Phone
- (707) 334-5202
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
4444 68TH PL Apt A3
Hyattsville, MD 20784-2033
Mailing address
4444 68TH PL Apt A3
Hyattsville, MD 20784-2033
Phone (707) 334-5202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNA20201768 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | abahomehealth.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1508464694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 68TH PL APT A3",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842033",
"telephone_number": "707-334-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 68TH PL APT A3",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842033",
"telephone_number": "707-334-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELL",
"first_name": "PHEBEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CNA20201768",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "abahomehealth.com",
"affiliation": "N",
"address_1": "4444 68th Pl Apt A3",
"city": "Hyattsville",
"state": "MD",
"country_code": "US",
"postal_code": "207842033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.