NPIMap

Organization Active NPI

Otik Health Care Services

  • Home Health Agency
  • Laurel, MD
National Provider Identifier
1689215170
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OTIK HEALTH CARE SERVICES
Doing business as
Otik Health Care Services
Practice address
8616 Accokeek St
Laurel, MD 20724-1986
Phone
(443) 525-5611
NPI assigned
Oct 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Mr. Han Forum F Enow, RN
Title
Director of Nursing
Phone
(240) 755-1953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

8616 Accokeek St
Laurel, MD 20724-1986

Mailing address

8616 Accokeek St
Laurel, MD 20724-1986
Phone (443) 525-5611

Other names 1

  • Otik Health Care Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://otikhealth.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1689215170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 ACCOKEEK ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241986",
            "telephone_number": "443-525-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 ACCOKEEK ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241986",
            "telephone_number": "443-525-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIK HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "ENOW",
        "authorized_official_first_name": "HAN FORUM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "240-755-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://otikhealth.com",
            "affiliation": "N",
            "endpointDescription": "SFTP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8616 Accokeek St",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207241986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Otik Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Otik Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.