E & a Pediatric Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

E & A PEDIATRIC HOME HEALTH SERVICES

Doing business as

Jefferson Nursing Svces

Practice address

207 W. Washington Street
Charles Town, WV 25414

Phone

(304) 724-2135

Fax

(304) 728-0839

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Anastasie Mbono, LICENSED NURSENPI 1487237400

Title

Ceo/Cfo

Phone

(301) 806-2953

Specialties & licenses 1

Addresses

Other names 1

• Jefferson Nursing Svces Doing business as

Locations

Practitioners 1

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

• Anastasie Mbono

  • Home Health Agency
  • Charles Town, WV
  • NPI 1487237400
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1720687478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 CHAPELGATE DR",
            "address_2": "ODENTON",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "21113",
            "telephone_number": "301-806-2953",
            "fax_number": "304-728-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W. WASHINGTON STREET",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "25414",
            "telephone_number": "304-724-2135",
            "fax_number": "304-728-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & A PEDIATRIC HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MBONO",
        "authorized_official_first_name": "ANASTASIE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "301-806-2953",
        "authorized_official_credential": "LICENSED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Nursing Svces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doja Logistics LLC
• Ella Doleman
• Courtney Downing
• Charene-Marie Francesca Duboyce, OD
• Dominic Dunne
• East Mountain Health Physicians Inc (Valley Health Multispecialty Clinic Charles Town)
• Celine Marie Eckles, OTR/L
• Elizabeth Ann Egan, LCPC
• Paula Emery
• Emi Group, PLLC

• Home Health Agency in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.