NPIMap

Organization Active NPI

Imelda Anyaoha

  • Pediatric Skilled Nursing Facility
  • Upper Marlboro, MD
National Provider Identifier
1639554363
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
LP34473 Issued in MD
Legal business name
IMELDA ANYAOHA
Practice address
3208 Hunting Horn LN
Upper Marlboro, MD 20774-7548
Phone
(301) 773-4561
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Imelda Chigozie Anyaoha II
Title
LPN
Phone
(301) 773-4561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X LP34473 MD Primary
Respite Care 385H00000X LP34473 MD

Addresses

Primary practice location

3208 Hunting Horn LN
Upper Marlboro, MD 20774-7548

Mailing address

3208 Hunting Horn LN
Springdale, MD 20774-7548
Phone (301) 773-4561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1639554363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HUNTING HORN LN",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207747548",
            "telephone_number": "301-773-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 HUNTING HORN LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747548",
            "telephone_number": "301-773-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA ANYAOHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "ANYAOHA",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "CHIGOZIE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "301-773-4561",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MD",
            "license": "LP34473",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MD",
            "license": "LP34473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2015; 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.