Organization Active NPI

Allied Qualitycare L.L.C

  • Home Health Agency
  • Waldorf, MD
National Provider Identifier
1770301889
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLIED QUALITYCARE L.L.C
Practice address
1636 Pin Oak Dr
Waldorf, MD 20601-3532
Phone
(301) 502-3903
NPI assigned
Sep 27, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Caroline Shaka, LPN
Title
Cfo
Phone
(301) 502-3903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1636 Pin Oak Dr
Waldorf, MD 20601-3532

Mailing address

1636 Pin Oak Dr
Waldorf, MD 20601-3532
Phone (301) 502-3903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1770301889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 PIN OAK DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013532",
            "telephone_number": "301-502-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 PIN OAK DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013532",
            "telephone_number": "301-502-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED QUALITYCARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "SHAKA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-502-3903",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.