NPIMap

Organization Active NPI

Tic Toc Healthcare Inc

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1669067104
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TIC TOC HEALTHCARE INC
Practice address
17008 Usher PL
Upper Marlboro, MD 20772-3443
Phone
(240) 552-2638
Fax
(240) 892-2313
NPI assigned
Mar 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Bamidele OmoboNPI 1851935183
Title
Administrator
Phone
(240) 552-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17008 Usher PL
Upper Marlboro, MD 20772-3443

Mailing address

17008 Usher PL
Upper Marlboro, MD 20772-3443
Phone (240) 552-2638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1669067104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17008 USHER PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723443",
            "telephone_number": "240-552-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17008 USHER PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723443",
            "telephone_number": "240-552-2638",
            "fax_number": "240-892-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIC TOC HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "OMOBO",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-552-2638"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 6, 2021; 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.