Maxwell Eneigho Andong Sr., HHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA13822 Issued in WA

Practice address

5811 84TH Ave
New Carrollton, MD 20784-2921

Phone

(202) 320-0812

NPI assigned

Jul 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maxwell Eneigho Andong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1598242075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 84TH AVE",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842921",
            "telephone_number": "202-320-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 84TH AVE",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207842921",
            "telephone_number": "202-320-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDONG",
        "first_name": "MAXWELL",
        "middle_name": "ENEIGHO",
        "name_suffix": "Sr.",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "HHA13822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAXWELL",
            "last_name": "ANDONG",
            "middle_name": "ENEIGHO",
            "credential": "HHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Aide in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.