Individual provider Active NPI

Cordelia Ada Nwagbo

  • Home Health Agency
  • Glenn Dale, MD
National Provider Identifier
1720315997
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2809P Issued in MD
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

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R2809PMDMDHome Health Agency
0803001MDMDNursing Care Agency
080401MDMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.