Active NPI
Ngu Nyindem
- In Home Supportive Care Agency
- Manassas, VA
National Provider Identifier
1508541244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 8243-03-011
- Practice address
- 7960 Donegan Dr Ste 201
Manassas, VA 20109-8236 - Phone
- (703) 298-3429
- NPI assigned
- Jun 20, 2023
- Last updated
- Jul 17, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 8243-03-011 | VA | Primary |
Addresses
Primary practice location
7960 Donegan Dr Ste 201
Manassas, VA 20109-8236
Mailing address
7960 Donegan Dr Ste 201
Manassas, VA 20109-8236
Phone (703) 298-3429
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Hearts Homecare Inc. | Current | Accepting new patients | |
| Salus Key Corporation | In Home Supportive Care | Current | Accepting new patients |
Locations
7960 Donegan Dr
Ste 201
Manassas, VA 20109
Phone (301) 219-6801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Manassas, VA
- NPI 1679049209
-
- In Home Supportive Care Agency
- Manassas, VA
- NPI 1700565736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1508541244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 DONEGAN DR STE 201",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098236",
"telephone_number": "703-298-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 DONEGAN DR STE 201",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098236",
"telephone_number": "703-298-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYINDEM",
"first_name": "NGU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "8243-03-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.