Active NPI
Ange Wendyam Gansore
- Home Health Aide
- Silver Spring, MD
National Provider Identifier
1841789187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13644
- Practice address
- 11215 Oak Leaf Dr Apt 120
Silver Spring, MD 20901-1364 - Phone
- (304) 918-8805
- NPI assigned
- May 2, 2018
- Last updated
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA13644 | DC | Primary |
Addresses
Primary practice location
11215 Oak Leaf Dr Apt 120
Silver Spring, MD 20901-1364
Mailing address
11215 Oak Leaf Dr Apt 120
Silver Spring, MD 20901-1364
Phone (304) 918-8805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA13644 | Other | DC | GOVERNMENT OF THE DISTRICT OF COLUMBIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA13644 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1841789187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 OAK LEAF DR APT 120",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011364",
"telephone_number": "304-918-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 OAK LEAF DR APT 120",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011364",
"telephone_number": "304-918-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANSORE",
"first_name": "ANGE",
"middle_name": "WENDYAM",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA13644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOVERNMENT OF THE DISTRICT OF COLUMBIA",
"identifier": "HHA13644",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.