Organization Active NPI

Impeccable Healthcare Services, Inc

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1619505823
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 22, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.