Suzanne Amenan Ondjewaine Kadjo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

R5194 Issued in MD

Practice address

12832 Longford Glen Dr
Germantown, MD 20874-4106

Phone

(240) 221-7151

Fax

(240) 821-5086

NPI assigned

Nov 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nouveau Health Care

  • Nursing Care Agency
  • Rockville, MD
  • NPI 1881540060
  NPD Authorized official

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1811605025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 LONGFORD GLEN DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744106",
            "telephone_number": "240-221-7151",
            "fax_number": "240-821-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 LONGFORD GLEN DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744106",
            "telephone_number": "240-221-7151",
            "fax_number": "240-821-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDJEWAINE KADJO",
        "first_name": "SUZANNE",
        "middle_name": "AMENAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R5194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chibuzor Okoro, PHARM.D
• Musse Yohannes Olani, PHARM.D
• Olayiwola O Oloko
• Adjoke Akouvi Olympio
• Tiffanie J On
• Daniel Rafael Ontiveros, DPT
• Lydia Emuobosa Opara, PMHNP
• Open MRI of Germantown, LLC
• Optimum Physical Therapy and Wellness, LLC (Fyzical Therapy and Balance Centers)
• Joann Ordaz, CRNP

• Home Health Aide in Germantown, MD
• Providers in Germantown, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.