NPIMap

Organization Active NPI

Jersira Shindoh

  • Adult Care Home Facility
  • Lanham, MD
National Provider Identifier
1912302688
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
10975 Issued in DC
Legal business name
JERSIRA SHINDOH
Practice address
9873 Good Luck Rd Apt 1
Lanham, MD 20706-3230
Phone
(202) 520-3689
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Ms. Jersira Shindoh
Title
HHA
Phone
(202) 520-3689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 10975 DC Primary

Addresses

Primary practice location

9873 Good Luck Rd Apt 1
Lanham, MD 20706-3230

Mailing address

9873 Good Luck Rd Apt 1
Lanham, MD 20706-3230
Phone (202) 520-3689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1912302688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 GOOD LUCK RD APT 1",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063230",
            "telephone_number": "202-520-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9873 GOOD LUCK RD APT 1",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063230",
            "telephone_number": "202-520-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSIRA SHINDOH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SHINDOH",
        "authorized_official_first_name": "JERSIRA",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "202-520-3689",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "DC",
            "license": "10975",
            "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 Oct 23, 2014; 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.