Theopisty Amimo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

R3961P Issued in MD

Practice address

4040 Blackburn LN
140
Burtonsville, MD 20866-6136

Phone

(240) 345-3115

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

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

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

• Trinity Care Services

  • Home Health Agency
  • Burtonsville, MD
  • NPI 1922556851
  NPD (past) Authorized official

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1942758107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BLACKBURN LN",
            "address_2": "140",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666136",
            "telephone_number": "240-345-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BLACKBURN LN",
            "address_2": "140",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666136",
            "telephone_number": "240-345-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIMO",
        "first_name": "THEOPISTY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R3961P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Healthcare Services LLC
• Alexandra Alvarez, OD
• Ambucare Ambulance Service Inc.
• American Ambulance and Medical Transport
• Catherine Kondo Amibang, HHA
• David Andino-Salgado
• Nwadiuto Anyanwu
• Kingsley Ndip Arrey, HHA
• Amoah Asante
• Nasim Ashraf, M.D

• Home Health Aide in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.