Active NPI
Impeccable Healthcare Services, Inc
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1619505823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IMPECCABLE HEALTHCARE SERVICES, INC
- Practice address
- 13209 Ailesbury CT
Upper Marlboro, MD 20772-6100 - Phone
- (301) 323-5124
- NPI assigned
- Apr 1, 2020
- 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
- Mrs. Ranti Olubukola Oke
- Title
- President
- Phone
- (301) 323-5124
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Skilled Nursing Facility | 314000000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
13209 Ailesbury CT
Upper Marlboro, MD 20772-6100
Mailing address
13209 Ailesbury CT
Upper Marlboro, MD 20772-6100
Phone (301) 323-5124
Other names 1
- Impeccable Rehab and Medical Supply
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1619505823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13209 AILESBURY CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726100",
"telephone_number": "301-323-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13209 AILESBURY CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726100",
"telephone_number": "301-323-5124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPECCABLE HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-01",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "OKE",
"authorized_official_first_name": "RANTI",
"authorized_official_middle_name": "OLUBUKOLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-323-5124",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Impeccable Rehab and Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.