Eddie Lavaly

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R4226R Issued in MD

Practice address

8855 Annapolis Rd Ste 109
Lanham, MD 20706-2936

Phone

(301) 957-5824

Fax

(240) 468-7255

NPI assigned

Oct 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shalom Nursing Care LLC

  • Occupational Therapist
  • Hyattsville, MD
  • NPI 1710644240

  Home Health

  NPD Authorized official
• Wind of Change Foundation Incorporated

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1477124295
  NPD Authorized official
• Shalom Therapy Services LLC

  • Home Health Agency
  • Lanham, MD
  • NPI 1982361416
  NPD

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": "1851163752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 ANNAPOLIS RD STE 109",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062936",
            "telephone_number": "301-957-5824",
            "fax_number": "240-468-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 ANNAPOLIS RD STE 109",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062936",
            "telephone_number": "301-957-5824",
            "fax_number": "240-468-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALY",
        "first_name": "EDDIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R4226R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fukuin Nayah Larissa
• Brittany Lark
• Abiodun Lasaki
• Aleksy Latoza
• Janet Lauer, CANP
• Charlette Lawrence, PT
• Katrina N Lawrence, EDD, LCPC
• Ngungankeng Lawson
• LCN Services LLC
• Cong Van Le, MD

• Home Health Registered Nurse in Lanham, MD
• Providers in Lanham, MD by specialty
• Home Health Registered Nurse in Maryland

• 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.