Organization Active NPI

Base Healthcare Services

  • In Home Supportive Care Agency
  • Capitol Heights, MD
National Provider Identifier
1689455891
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BASE HEALTHCARE SERVICES
Practice address
1103 Glen Willow Dr Apt 8
Capitol Heights, MD 20743-1534
Phone
(443) 538-8343
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Annick Joelle Fotsi
Title
Director
Phone
(443) 538-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1103 Glen Willow Dr Apt 8
Capitol Heights, MD 20743-1534

Mailing address

1103 Glen Willow Dr Apt 8
Capitol Heights, MD 20743-1534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1689455891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 GLEN WILLOW DR APT 8",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GLEN WILLOW DR APT 8",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431534",
            "telephone_number": "443-538-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "FOTSI",
        "authorized_official_first_name": "ANNICK",
        "authorized_official_middle_name": "JOELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-538-8343"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.