NPIMap

Individual provider Active NPI

Michael Odhiambo

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1669875761
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA3846 Issued in DC
Practice address
6856 Eastern Ave NW
220
Washington, DC 20012-2165
Phone
(202) 545-6980
NPI assigned
Oct 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA3846 DC Primary

Addresses

Primary practice location

6856 Eastern Ave NW
220
Washington, DC 20012-2165

Mailing address

931 Longfellow St NW
Apt B7
Washington, DC 20011-8237

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

LicenseStateTypeSpecialty
HHA3846DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Health Care Services Past Accepting new patients
Maxim Healthcare Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1669875761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LONGFELLOW ST NW",
            "address_2": "APT B7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200118237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-545-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHIAMBO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.