Ijeoma Igwe
Individual provider Active NPI Home Health Agency · Indian Head, MD
NPI 1699195081 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1699195081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- R3973 (MD)
- Practice address
- 9 Helen CT
Indian Head, MD 20640-1967 - Phone
- (240) 535-8731
- Fax
- (240) 586-4767
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3467 | MD | MD | Home Health Agency |
| R3973 | MD | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | R3467 | MD | |
| Home Health Agency | 251E00000X | R3973 | MD | Yes |
Addresses
Primary practice location
9 Helen CT
Indian Head, MD 20640-1967
Mailing address
9 Helen CT
Indian Head, MD 20640-1967
Phone (240) 535-8731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205507400 | Medicaid | MD |
Other providers in Indian Head, MD
- Asia Goodwin
- Anisa Marie Graham
- Benjamin Graves
- Dale R Harman
- David Paul Horvath
- Indian Head Pharmacy Inc
- Indian Head Volunteer Fire Dept and Rescue Squad, Inc.
- Channel James
- Surnita Lawon Jefferson-Jones
- Sherry Teresa Johnson
All providers in Indian Head, MD · Home Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.