Remedium Ancillary Services

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

REMEDIUM ANCILLARY SERVICES

Practice address

10203 Grandhaven Ave # 115
Upper Marlboro, MD 20772-6656

Phone

(443) 240-7072

NPI assigned

Jul 26, 2023

Last updated

Jul 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hans Prince DohertyNPI 1013429315

Title

Ceo

Phone

(443) 240-7072

Specialties & licenses 6

Addresses

Tax ID family

Remedium Ancillary Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Remedium Ancillary Services

  • Home Health Registered Nurse
  • Upper Marlboro, MD
  • NPI 1255012217
  NPD tax ID
• Remedium Ancillary Services

  • Nursing Care Agency
  • Upper Marlboro, MD
  • NPI 1255012522
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hans Prince Doherty Sr.

  • Licensed Practical Nurse
  • Upper Marlboro, MD
  • NPI 1013429315
  Authorized official Same address or phone

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1619658333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 GRANDHAVEN AVE # 115",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726656",
            "telephone_number": "443-240-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 GRANDHAVEN AVE # 115",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726656",
            "telephone_number": "443-240-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIUM ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "PRINCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-240-7072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.