Organization Active NPI

Dalyon Miracle Nursing Agency & Services, Inc.

  • In Home Supportive Care Agency
  • Laurel, MD
National Provider Identifier
1821304684
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
16AL0923A Issued in MD
Legal business name
DALYON MIRACLE NURSING AGENCY & SERVICES, INC.
Practice address
11214 Snowden Pond Rd
Laurel, MD 20708-3063
Phone
(202) 330-6655
Fax
(410) 880-3451
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Dada Nduma Lyonga
Title
President and Ceo
Phone
(202) 330-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 16AL0923A MD Primary

Addresses

Primary practice location

11214 Snowden Pond Rd
Laurel, MD 20708-3063

Mailing address

11214 Snowden Pond Rd
Laurel, MD 20708-3063
Phone (202) 330-6655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1821304684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11214 SNOWDEN POND RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083063",
            "telephone_number": "202-330-6655",
            "fax_number": "410-880-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11214 SNOWDEN POND RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083063",
            "telephone_number": "202-330-6655",
            "fax_number": "410-880-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALYON MIRACLE NURSING AGENCY & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "LYONGA",
        "authorized_official_first_name": "DADA",
        "authorized_official_middle_name": "NDUMA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "202-330-6655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "16AL0923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.