Organization Active NPI

Ganiyu Balogun

  • Custodial Care Facility
  • Lanham, MD
National Provider Identifier
1891055620
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
GANIYU BALOGUN
Practice address
9410 Washington Blvd
Lanham, MD 20706-3016
Phone
(301) 494-4372
NPI assigned
May 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Ganiyu Balogun
Title
Manager
Phone
(301) 494-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

9410 Washington Blvd
Lanham, MD 20706-3016

Mailing address

9410 Washington Blvd
Lanham, MD 20706-3016
Phone (301) 494-4372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1891055620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 WASHINGTON BLVD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063016",
            "telephone_number": "301-494-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 WASHINGTON BLVD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063016",
            "telephone_number": "301-494-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANIYU BALOGUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-27",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "GANIYU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-494-4372"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.