Individual provider Active NPI

Ricardo Keith Woolfolk Sr.

  • Home Health Aide
  • Temple Hills, MD
National Provider Identifier
1821780792
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4311 23Rd Pkwy Apt 302
Temple Hills, MD 20748-4463
Phone
(202) 883-9721
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

4311 23Rd Pkwy Apt 302
Temple Hills, MD 20748-4463

Mailing address

4311 23Rd Pkwy Apt 302
Temple Hills, MD 20748-4463
Phone (202) 883-9721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1821780792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 23RD PKWY APT 302",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484463",
            "telephone_number": "202-883-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 23RD PKWY APT 302",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484463",
            "telephone_number": "202-883-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "RICARDO",
        "middle_name": "KEITH",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.