Active NPI
Severn Healthcare Services LLC
- Home Health Agency
- Beltsville, MD
National Provider Identifier
1548024730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SEVERN HEALTHCARE SERVICES LLC
- Practice address
- 11720 Beltsville Dr Ste 500
Beltsville, MD 20705-3139 - Phone
- (240) 906-0569
- NPI assigned
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Ekuwe Gaba
- Title
- Chief Executive Officer
- Phone
- (240) 906-0569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11720 Beltsville Dr Ste 500
Beltsville, MD 20705-3139
Mailing address
7811 Chevalier CT
Severn, MD 21144-1670
Phone (240) 906-0569
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1548024730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7811 CHEVALIER CT",
"city": "SEVERN",
"state": "MD",
"postal_code": "211441670",
"telephone_number": "240-906-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR STE 500",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053139",
"telephone_number": "240-906-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVERN HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "GABA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EKUWE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "240-906-0569"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.