Individual provider Active NPI

Bachirou Mohamadou

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1821860800
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003147 Issued in MD
Practice address
6731 New Hampshire Ave Apt 1101
Takoma Park, MD 20912-2814
Phone
(240) 727-1613
NPI assigned
Oct 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 HHA200003147 MD Primary

Addresses

Primary practice location

6731 New Hampshire Ave Apt 1101
Takoma Park, MD 20912-2814

Mailing address

6731 New Hampshire Ave Apt 1101
Takoma Park, MD 20912-2814
Phone (240) 727-1613

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

State licenses

LicenseStateTypeSpecialty
HHA200003147MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1821860800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 NEW HAMPSHIRE AVE APT 1101",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122814",
            "telephone_number": "240-727-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 NEW HAMPSHIRE AVE APT 1101",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122814",
            "telephone_number": "240-727-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMADOU",
        "first_name": "BACHIROU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "HHA200003147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.