Organization Active NPI

Shepherd'S Staff in-Home Care L.L.C.

  • In Home Supportive Care Agency
  • Frederick, MD
National Provider Identifier
1578094249
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R3661 Issued in MD
Legal business name
SHEPHERD'S STAFF IN-HOME CARE L.L.C.
Practice address
205 Broadway St
Frederick, MD 21701-6501
Phone
(301) 304-9143
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Mrs. Angela Amelia Martin
Title
President
Phone
(301) 304-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R3661 MD Primary

Addresses

Primary practice location

205 Broadway St
Frederick, MD 21701-6501

Mailing address

205 Broadway St
Frederick, MD 21701-6501
Phone (301) 304-9143

National Provider Directory

National Provider Directory

Locations

205 Broadway St
Frederick, MD 21701
Phone (301) 304-9143

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1578094249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BROADWAY ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016501",
            "telephone_number": "301-304-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROADWAY ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016501",
            "telephone_number": "301-304-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S STAFF IN-HOME CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-304-9143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.