Organization Active NPI

Reliable Wound Ostomy Consultant LLC

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1710776778
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RELIABLE WOUND OSTOMY CONSULTANT LLC
Practice address
6664 Ballenger Run Blvd
Frederick, MD 21703-7918
Phone
(240) 305-7922
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Agnes M MpanjaNPI 1255174470
Title
Owner
Phone
(240) 305-7922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6664 Ballenger Run Blvd
Frederick, MD 21703-7918

Mailing address

6664 Ballenger Run Blvd
Frederick, MD 21703-7918
Phone (240) 305-7922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1710776778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6664 BALLENGER RUN BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037918",
            "telephone_number": "240-305-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6664 BALLENGER RUN BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037918",
            "telephone_number": "240-305-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE WOUND OSTOMY CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "MPANJA",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-305-7922"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.