Et Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2913P Issued in MD

Legal business name

ET HOME HEALTH AGENCY

Practice address

13111 3Rd St
Bowie, MD 20720-3746

Phone

(240) 441-2829

Fax

(240) 206-9396

NPI assigned

May 20, 2010

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eta Stephen Tataw, RN, MSN

Title

Director

Phone

(240) 441-2829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1710206438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 3RD ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203746",
            "telephone_number": "240-441-2829",
            "fax_number": "240-206-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 3RD ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203746",
            "telephone_number": "240-441-2829",
            "fax_number": "240-206-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ET HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "TATAW",
        "authorized_official_first_name": "ETA",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-441-2829",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2913P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.