Maryanne Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARYANNE HEALTHCARE SERVICES LLC

Practice address

11130 Fairfax Blvd Ste 200
Fairfax, VA 22030-5035

Phone

(908) 906-7518

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ijeoma Anne MgbojiNPI 1699649459

Title

RN

Phone

(908) 906-7518

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ijeoma Anne Mgboji, NP

  • Nurse Practitioner
  • La Plata, MD
  • NPI 1699649459
  Authorized official Same address or phone
• Mary Ginikanwa Obiyo

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
  • NPI 1396457537
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1801573423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305035",
            "telephone_number": "908-906-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANNE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MGBOJI",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "908-906-7518"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovana Rosemary Martinez
• Johanna Martinez, LCSW
• Maurice Steven Martinez, LPC
• Jennifer Marie Martini, MD
• Amanda Marvin, ATC
• Vincent James Mascatello, MD
• Philbert John Masele
• Karen Roberta Maser, M.D.
• Catherine Sanders Maskell, ARNP
• Heather Maslonek, LCSW

• In Home Supportive Care Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.