Individual provider Active NPI

Sibongile Ncube

  • In Home Supportive Care Agency
  • Rockville, MD
National Provider Identifier
1780003111
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R3466P Issued in MD
Practice address
11900 Parklawn Dr
#160
Rockville, MD 20852-2624
Phone
(301) 272-5140
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R3466P MD
In Home Supportive Care Agency 253Z00000X R3466P MD Primary

Addresses

Primary practice location

11900 Parklawn Dr
#160
Rockville, MD 20852-2624

Mailing address

4938 Hampden LN
#178
Bethesda, MD 20814-2914
Phone (301) 272-5140

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

LicenseStateTypeSpecialty
R3466PMDMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1780003111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 HAMPDEN LN",
            "address_2": "#178",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142914",
            "telephone_number": "301-272-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 PARKLAWN DR",
            "address_2": "#160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522624",
            "telephone_number": "301-272-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NCUBE",
        "first_name": "SIBONGILE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R3466P",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3466P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.