NPIMap

Organization Active NPI

Medline Health Services

  • Home Health Agency
  • Fort Washington, MD
National Provider Identifier
1669960779
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDLINE HEALTH SERVICES
Practice address
11908 Maher Dr
Fort Washington, MD 20744
Phone
(301) 235-3026
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Alfred William Cannon Jr.
Title
Ceo
Phone
(301) 235-3026

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

11908 Maher Dr
Fort Washington, MD 20744

Mailing address

11908 Maher Dr
Fort Washington, MD 20744
Phone (301) 235-3026

Other names 1

  • Medline Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medline Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1669960779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 MAHER DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-235-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 MAHER DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-235-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-235-3026",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.