NPIMap

Organization Active NPI

Pacon Investmentdba/a&C Nursing Agency

  • Nursing Care Agency
  • Bowie, MD
National Provider Identifier
1760641401
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R2520 Issued in MD
Legal business name
PACON INVESTMENTDBA/A&C NURSING AGENCY
Doing business as
Pacon investmentDBA/A&C Nursing Agency
Practice address
13307 Big Cedar LN
Bowie, MD 20720-5609
Phone
(301) 809-1461
Fax
(301) 809-1462
NPI assigned
Jun 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Authorized official

Name
Ms. Patricia Obiageli Ndubueze, NURSE (RN)NPI 1952997587
Title
Director
Phone
(301) 728-5198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2520 MD
Nursing Care Agency 251J00000X R2520 MD Primary

Addresses

Primary practice location

13307 Big Cedar LN
Bowie, MD 20720-5609

Mailing address

13307 Big Cedar LN
Bowie, MD 20720-5609
Phone (301) 809-1461

Other names 1

  • Pacon investmentDBA/A&C Nursing Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacon Investment Inc Dba Omega Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1760641401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 BIG CEDAR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205609",
            "telephone_number": "301-809-1461",
            "fax_number": "301-809-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 BIG CEDAR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205609",
            "telephone_number": "301-809-1461",
            "fax_number": "301-809-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACON INVESTMENTDBA/A&C NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "NDUBUEZE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "OBIAGELI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-728-5198",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE (RN)"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2520",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacon investmentDBA/A&C Nursing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 7, 2008; 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.