Adcare Home Health Services, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ADCARE HOME HEALTH SERVICES, LLC

Practice address

18909 Ebbtide Cir
Germantown, MD 20874-1993

Phone

(240) 491-1087

Fax

(240) 252-2171

NPI assigned

Jan 1, 2021

Organization subpart

No

Name

Dr. Catherine Oppong Kledo, DNP, MSN, RN, WCC

Title

Chief Executive Officer

Phone

(240) 491-1087

• Adcare Home Health Services, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2022.

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1831787290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 EBBTIDE CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741993",
            "telephone_number": "240-491-1087",
            "fax_number": "240-252-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18909 EBBTIDE CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741993",
            "telephone_number": "240-491-1087",
            "fax_number": "240-252-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADCARE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-01",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "KLEDO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "OPPONG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-491-1087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN,  RN, WCC"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH- OFFICE OF HEALTH CARE QUALITY",
            "identifier": "R4860P",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adcare Home Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.