NPIMap

Organization Active NPI

Express Home & Renal Healthcare, LLC.

  • Home Health Agency
  • Kensington, MD
National Provider Identifier
1821755968
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Practice address
10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909
Phone
(301) 704-2667
Fax
(301) 649-2109
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Mr. Solomon M Fon, CPA
Title
Ceo/Administrator
Phone
(301) 704-2667

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909

Mailing address

10400 Connecticut Ave Ste 602
Kensington, MD 20895-3909
Phone (301) 704-2667

National Provider Directory

National Provider Directory
Tax ID family
Express Home Renal Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1821755968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 602",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953909",
            "telephone_number": "301-704-2667",
            "fax_number": "301-649-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 602",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953909",
            "telephone_number": "301-704-2667",
            "fax_number": "301-649-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HOME & RENAL HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-704-2667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.