Active NPI
Endearment, LLC.
- In Home Supportive Care Agency
- Elkton, MD
National Provider Identifier
1578106381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ENDEARMENT, LLC.
- Practice address
- 107 Walnut LN
Elkton, MD 21921-5001 - Phone
- (443) 350-9728
- NPI assigned
- Oct 24, 2019
- Last updated
- Oct 24, 2019
- 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
- Catella M Visser, RN
- Title
- Owner/ Manager
- Phone
- (410) 920-8925
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
107 Walnut LN
Elkton, MD 21921-5001
Mailing address
107 Walnut LN
Elkton, MD 21921-5001
Phone (443) 350-9728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5647011P0001 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@endearmenthhal.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571875200000",
"number": "1578106381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WALNUT LN",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215001",
"telephone_number": "443-350-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WALNUT LN",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215001",
"telephone_number": "443-350-9728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDEARMENT, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A",
"authorized_official_last_name": "VISSER",
"authorized_official_first_name": "CATELLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/ MANAGER",
"authorized_official_telephone_number": "410-920-8925",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5647011P0001",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@endearmenthhal.com",
"affiliation": "N",
"endpointDescription": "Secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "107 Walnut Ln",
"city": "Elkton",
"state": "MD",
"country_code": "US",
"postal_code": "219215001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.