Active NPI
Mofrankal Healthcare Services
- Home Health Agency
- Baltimore, MD
National Provider Identifier
1598800211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 05-278
- Legal business name
- MOFRANKAL HEALTHCARE SERVICES
- Practice address
- 2300 Garrison Blvd
#106
Baltimore, MD 21216-2335 - Phone
- (410) 945-7470
- Fax
- (410) 945-7459
- NPI assigned
- Feb 20, 2007
- 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
- Mr. Ohireime Bodunrin
- Title
- Ceo
- Phone
- (410) 945-7470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 05-278 | VA | Primary |
Addresses
Primary practice location
2300 Garrison Blvd
#106
Baltimore, MD 21216-2335
Mailing address
2300 Garrison Blvd
#106
Baltimore, MD 21216-2335
Phone (410) 945-7470
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010062934 | Medicaid | VA | |
| 010062918 | Medicaid | VA | |
| 010244749 | Medicaid | VA | |
| 010062900 | Medicaid | VA | |
| 010072875 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Mofrankal Healthcare Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Alexandria, VA
- NPI 1962479295
Locations
2300 Garrison Blvd
Ste 106
Baltimore, MD 21216
Phone (410) 945-7470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1598800211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GARRISON BLVD",
"address_2": "#106",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212162335",
"telephone_number": "410-945-7470",
"fax_number": "443-283-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GARRISON BLVD",
"address_2": "#106",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212162335",
"telephone_number": "410-945-7470",
"fax_number": "410-945-7459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOFRANKAL HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "BODUNRIN",
"authorized_official_first_name": "OHIREIME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-945-7470",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "05-278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010062934",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010062918",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010244749",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010062900",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010072875",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.