Active NPI
Adamsay Kollo Kargbo
- Home Health Aide
- Bowie, MD
National Provider Identifier
1730643834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 1401182633
- Practice address
- 11311 Booth Bay Way
Bowie, MD 20720-3428 - Phone
- (240) 467-4794
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | 1401182633 | VA | Primary |
Addresses
Primary practice location
11311 Booth Bay Way
Bowie, MD 20720-3428
Mailing address
11311 Booth Bay Way
Bowie, MD 20720-3428
Phone (240) 467-4794
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 |
|---|---|---|---|
| 1401182633 | VA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1730643834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11311 BOOTH BAY WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203428",
"telephone_number": "240-467-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11311 BOOTH BAY WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203428",
"telephone_number": "240-467-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARGBO",
"first_name": "ADAMSAY",
"middle_name": "KOLLO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "VA",
"license": "1401182633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.