Isaac Mayowa IX

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA9644 Issued in DC

Practice address

3211 75TH Ave Apt 405
Landover, MD 20785-1932

Phone

(240) 554-7804

NPI assigned

May 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1750793311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 75TH AVE",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207851931",
            "telephone_number": "240-554-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 75TH AVE APT 405",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207851932",
            "telephone_number": "240-554-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOWA",
        "first_name": "ISAAC",
        "name_suffix": "IX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA9644",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Family Resource, Inc (DC Family Resource, Inc.)
• Maryland Family Resource, Inc.
• Tandria Mason
• James L Matthews, DDS
• Katrina Matthews, GRADUATE STUDENT
• Joseph Mbong
• Lila Lorraine McCleary, RN
• Shannon Nickole McClelland
• Bruce Edward McClure, PHD, LCPC,NCC
• Jazmine McConner

• Home Health Aide in Landover, MD
• Providers in Landover, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.