Active NPI
Cordelia Ada Nwagbo
- Home Health Agency
- Glenn Dale, MD
National Provider Identifier
1720315997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R2809P
- Practice address
- 11540 Prospect Hill Rd
Glenn Dale, MD 20769-9469 - Phone
- (301) 768-6060
- Fax
- (301) 358-3883
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | R2809P | MD | Primary |
| Nursing Care Agency | 251J00000X | 0803001 | MD | |
| In Home Supportive Care Agency | 253Z00000X | 080401 | MD |
Addresses
Primary practice location
11540 Prospect Hill Rd
Glenn Dale, MD 20769-9469
Mailing address
11540 Prospect Hill Rd
Glenn Dale, MD 20769-9469
Phone (301) 768-6060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2809P | MD | MD | Home Health Agency |
| 0803001 | MD | MD | Nursing Care Agency |
| 080401 | MD | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gig Home Health Care Agency, Inc | Home Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Glenn Dale, MD
- NPI 1275860447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1720315997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11540 PROSPECT HILL RD",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699469",
"telephone_number": "301-768-6060",
"fax_number": "301-358-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11540 PROSPECT HILL RD",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699469",
"telephone_number": "301-768-6060",
"fax_number": "301-358-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAGBO",
"first_name": "CORDELIA",
"middle_name": "ADA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "R2809P",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MD",
"license": "0803001",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MD",
"license": "080401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.