Ninja King Domond, HHA

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10000520445 Issued in DE

Practice address

300 Laura LN Apt 202
Seaford, DE 19973-1254

Phone

(215) 452-3966

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1801516539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAURA LN APT 202",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731254",
            "telephone_number": "215-452-3966",
            "fax_number": "302-875-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LAURA LN APT 202",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731254",
            "telephone_number": "215-452-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOND",
        "first_name": "NINJA",
        "middle_name": "KING",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": "10000520445",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DE",
            "license": "10000520445",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DE",
            "license": "10000520445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Sammons Dicarlo, M.S., OTR L
• Dicerbo & Irving LLC
• Patricia Dickerson, LPN
• Claude J Dimarco, DO
• Edith Kadoh Doh, CRNA
• Robert Donati, PT
• Olivia Donovan
• Patricia H. Donovan, MD
• Bruce Michael Dopler, MD
• Emanie Elysee Dorival, CRNP

• In Home Supportive Care Agency in Seaford, DE
• Providers in Seaford, DE by specialty
• In Home Supportive Care Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.