Organization Active NPI

Ezer Healthcare Services, LLC

  • Home Health Agency
  • Bowie, MD
National Provider Identifier
1912760265
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EZER HEALTHCARE SERVICES, LLC
Practice address
3645 Elder Oaks Blvd Apt 7306
Bowie, MD 20716-3398
Phone
(240) 412-7626
NPI assigned
Jan 31, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Ms. Irebo Shoniregun
Title
Administrator
Phone
(240) 412-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3645 Elder Oaks Blvd Apt 7306
Bowie, MD 20716-3398

Mailing address

3645 Elder Oaks Blvd Apt 7306
Bowie, MD 20716-3398
Phone (240) 412-7626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1912760265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 ELDER OAKS BLVD APT 7306",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163398",
            "telephone_number": "240-412-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 ELDER OAKS BLVD APT 7306",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163398",
            "telephone_number": "240-412-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZER HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "SHONIREGUN",
        "authorized_official_first_name": "IREBO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-412-7626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.