Organization Active NPI

Cardinal Health Care Solution LLC

  • Home Health Agency
  • Temple Hills, MD
National Provider Identifier
1770171308
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARDINAL HEALTH CARE SOLUTION LLC
Practice address
4905 Faith Crossing CT
Temple Hills, MD 20748-5340
Phone
(240) 476-3951
Fax
(301) 248-0931
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
CHI Otuya
Title
Director
Phone
(240) 476-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4905 Faith Crossing CT
Temple Hills, MD 20748-5340

Mailing address

4905 Faith Crossing CT
Temple Hills, MD 20748-5340
Phone (240) 476-3951

Other identifiers 1

IdentifierTypeStateIssuer
RMedicaidMD

Other names 1

  • Cardinal health care solution llc Former legal business name

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1770171308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 FAITH CROSSING CT",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485340",
            "telephone_number": "240-476-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 FAITH CROSSING CT",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485340",
            "telephone_number": "240-476-3951",
            "fax_number": "301-248-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH CARE SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "OTUYA",
        "authorized_official_first_name": "CHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-476-3951"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal health care solution llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.