Organization Active NPI

Family Home Healthcare

  • In Home Supportive Care Agency
  • Upper Marlboro, MD
National Provider Identifier
1538903992
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY HOME HEALTHCARE
Practice address
12515 Coventry Manor Way
Upper Marlboro, MD 20772-6015
Phone
(410) 718-7600
NPI assigned
Jun 20, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Yvette Gayles
Title
Owner
Phone
(410) 718-7600

Specialties & licenses 1

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

Addresses

Primary practice location

12515 Coventry Manor Way
Upper Marlboro, MD 20772-6015

Mailing address

12515 Coventry Manor Way
Upper Marlboro, MD 20772-6015
Phone (410) 718-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1538903992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 COVENTRY MANOR WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726015",
            "telephone_number": "410-718-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 COVENTRY MANOR WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726015",
            "telephone_number": "410-718-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "GAYLES",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-718-7600"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.