Xtra Miles Nursing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

XTRA MILES NURSING LLC

Practice address

3819 Gawayne Ter
Silver Spring, MD 20906-2656

Phone

(240) 370-7509

Fax

(240) 363-8106

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Omolara Aribisala

Title

Owner/ President

Phone

(240) 370-7509

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1891483905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 GAWAYNE TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062656",
            "telephone_number": "240-370-7509",
            "fax_number": "240-363-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 GAWAYNE TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062656",
            "telephone_number": "240-370-7509",
            "fax_number": "240-363-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA MILES NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "ARIBISALA",
        "authorized_official_first_name": "OMOLARA",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "240-370-7509",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.