NPIMap

Organization Active NPI

Medstats Residential Agency

  • Home Health Agency
  • Columbia, MD
National Provider Identifier
1679918452
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDSTATS RESIDENTIAL AGENCY
Practice address
10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682
Phone
(202) 664-3977
Fax
(443) 542-9372
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Ayobami O Fashina
Title
Ceo/Owner
Phone
(202) 664-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682

Mailing address

10760 Hickory Ridge Rd Ste 123
Columbia, MD 21044-3682
Phone (202) 664-3977

National Provider Directory

National Provider Directory

Locations

10760 Hickory Ridge Rd
Ste 123
Columbia, MD 21044
Phone (202) 664-3977

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1679918452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "202-664-3977",
            "fax_number": "443-542-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "202-664-3977",
            "fax_number": "443-542-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTATS RESIDENTIAL AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "FASHINA",
        "authorized_official_first_name": "AYOBAMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "202-664-3977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.