Individual provider Active NPI

Chizoba Godwin Ozoude

  • Home Health Aide
  • Odenton, MD
National Provider Identifier
1780926568
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA1500 Issued in DC
Practice address
2440 Winding Ridge Rd
Odenton, MD 21113-2515
Phone
(240) 646-4579
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA1500 DC Primary

Addresses

Primary practice location

2440 Winding Ridge Rd
Odenton, MD 21113-2515

Mailing address

2440 Winding Ridge Rd
Odenton, MD 21113-2515
Phone (240) 646-4579

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
HHA1500DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1780926568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WINDING RIDGE RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132515",
            "telephone_number": "240-646-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WINDING RIDGE RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132515",
            "telephone_number": "240-646-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOUDE",
        "first_name": "CHIZOBA",
        "middle_name": "GODWIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.