Enamel Healthcare Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENAMEL HEALTHCARE SERVICE INC

Practice address

6715 Havenoak Rd Apt C2
Rosedale, MD 21237-4849

Phone

(410) 800-3482

NPI assigned

Nov 15, 2023

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisabeth Wandji

Title

Ceo

Phone

(410) 800-3482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1679348007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 HAVENOAK RD APT C2",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374849",
            "telephone_number": "410-800-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 HAVENOAK RD APT C2",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374849",
            "telephone_number": "410-800-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL HEALTHCARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "WANDJI",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-800-3482"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.