Individual provider Active NPI

Marie Ngollo, HHOME HEALTH AIDE

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1710234927
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
9905 Good Luck Rd
Apt # 101
Lanham, MD 20706-3246
Phone
(301) 794-7363
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

9905 Good Luck Rd
Apt # 101
Lanham, MD 20706-3246

Mailing address

9905 Good Luck Rd
Apt # 101
Lanham, MD 20706-3246
Phone (301) 794-7363

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1710234927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 GOOD LUCK RD",
            "address_2": "APT # 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063246",
            "telephone_number": "301-794-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 GOOD LUCK RD",
            "address_2": "APT # 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063246",
            "telephone_number": "301-794-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOLLO",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "HHOME HEALTH AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.