NPIMap

Organization Active NPI

Immaculate Health Care Services,Inc

  • Home Health Agency
  • Bowie, MD
National Provider Identifier
1710126784
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCA0012 Issued in DC
Legal business name
IMMACULATE HEALTH CARE SERVICES,INC
Practice address
12817 Odens Bequest Dr
Bowie, MD 20720
Phone
(202) 832-8340
Fax
(202) 832-8341
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Kenneth .A. Osuji
Title
Administrator
Phone
(202) 832-8340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA0012 DC Primary

Addresses

Primary practice location

12817 Odens Bequest Dr
Bowie, MD 20720

Mailing address

1818 New York Ave NE
Suite 228
Washington, DC 20002-1848
Phone (202) 832-8340

Other identifiers 1

IdentifierTypeStateIssuer
035810300MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
Immaculate Health Care Servicesinc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1710126784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE",
            "address_2": "SUITE 228",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-832-8340",
            "fax_number": "202-832-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12817 ODENS BEQUEST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20720",
            "telephone_number": "202-832-8340",
            "fax_number": "202-832-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HEALTH CARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": ".A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-832-8340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HCA0012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035810300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.