NPIMap

Organization Active NPI

Victoria Garden Healthcare Inc

  • Home Health Agency
  • Laurel, MD
National Provider Identifier
1669139762
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORIA GARDEN HEALTHCARE INC
Practice address
8001 Moss Bank Dr
Laurel, MD 20724-2932
Phone
(301) 509-0739
NPI assigned
Nov 23, 2021
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Yetunde OtubanjoNPI 1962861955
Title
Provider
Phone
(301) 509-0739

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 NU Primary

Addresses

Primary practice location

8001 Moss Bank Dr
Laurel, MD 20724-2932

Mailing address

8001 Moss Bank Dr
Laurel, MD 20724-2932
Phone (301) 509-0739

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1669139762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 MOSS BANK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242932",
            "telephone_number": "301-509-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MOSS BANK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242932",
            "telephone_number": "301-509-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA GARDEN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "OTUBANJO",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-509-0739"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.