Individual provider Active NPI

Abraham E Irabor, HHA

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1699109173
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3317 Poplar Dr
Upper Marlboro, MD 20774-3501
Phone
(202) 545-0935
Fax
(202) 545-0176
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

3317 Poplar Dr
Upper Marlboro, MD 20774-3501

Mailing address

3317 Poplar Dr
Upper Marlboro, MD 20774-3501
Phone (202) 545-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1699109173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 POPLAR DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743501",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 POPLAR DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743501",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABOR",
        "first_name": "ABRAHAM",
        "middle_name": "E",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.