Active NPI
Prospect Home Care Services. Inc.
- In Home Supportive Care Agency
- Bowie, MD
National Provider Identifier
1669915286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HCSA1003014
- Legal business name
- PROSPECT HOME CARE SERVICES. INC.
- Practice address
- 14001 Heatherstone Dr
Bowie, MD 20720-4831 - Phone
- (301) 262-1152
- NPI assigned
- Nov 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Kanagbou
- Title
- Director of Operations
- Phone
- (301) 262-1152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HCSA1003014 | MD | Primary |
Addresses
Primary practice location
14001 Heatherstone Dr
Bowie, MD 20720-4831
Mailing address
14001 Heatherstone Dr
Bowie, MD 20720-4831
Phone (301) 262-1152
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480464000000",
"number": "1669915286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 HEATHERSTONE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204831",
"telephone_number": "301-262-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 HEATHERSTONE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204831",
"telephone_number": "301-262-1152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPECT HOME CARE SERVICES. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A",
"authorized_official_last_name": "KANAGBOU",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "301-262-1152"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MD",
"license": "HCSA1003014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Progressive Residential Nursing Care Services Inc
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- Randy W Prout
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.