Active NPI
Solomon Kargbo, CNA
- Personal Care Attendant
- Glenn Dale, MD
National Provider Identifier
1659813038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- A00110645
- Practice address
- 10804 Glenshire Dr
Glenn Dale, MD 20769-9150 - Phone
- (301) 277-4337
- Fax
- (301) 277-4335
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | A00110645 | MD | Primary |
Addresses
Primary practice location
10804 Glenshire Dr
Glenn Dale, MD 20769-9150
Mailing address
10804 Glenshire Dr
Glenn Dale, MD 20769-9150
Phone (301) 277-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00110645 | MD | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1659813038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10804 GLENSHIRE DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699150",
"telephone_number": "301-277-4337",
"fax_number": "301-277-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10804 GLENSHIRE DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699150",
"telephone_number": "301-277-4337",
"fax_number": "301-277-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARGBO",
"first_name": "SOLOMON",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MD",
"license": "A00110645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.