NPIMap

Organization Active NPI

Segbol Caregiver LLC

  • In Home Supportive Care Agency
  • Laurel, MD
National Provider Identifier
1508632654
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SEGBOL CAREGIVER LLC
Practice address
9757 Mountain Laurel Way Apt 3a
Laurel, MD 20723-6331
Phone
(240) 548-7700
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Elizabeth OgunjimiNPI 1255114872
Title
Owner
Phone
(240) 548-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9757 Mountain Laurel Way Apt 3a
Laurel, MD 20723-6331

Mailing address

9757 Mountain Laurel Way Apt 3a
Laurel, MD 20723-6331
Phone (240) 548-7700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1508632654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 MOUNTAIN LAUREL WAY APT 3A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236331",
            "telephone_number": "240-548-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 MOUNTAIN LAUREL WAY APT 3A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236331",
            "telephone_number": "240-548-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGBOL CAREGIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "OGUNJIMI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-548-7700"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.