Individual provider Active NPI

Ablawa Ajavon

  • Home Health Aide
  • Mount Rainier, MD
National Provider Identifier
1952771289
Registry record updated Apr 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3521 Otis St
Mount Rainier, MD 20712-2158
Phone
(240) 505-8928
NPI assigned
Sep 29, 2015
Last updated
Apr 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

3521 Otis St
Mount Rainier, MD 20712-2158

Mailing address

3406 Newton St Apt 6
Mount Rainier, MD 20712-2126
Phone (240) 505-8928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524355200000",
    "number": "1952771289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 NEWTON ST APT 6",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207122126",
            "telephone_number": "240-505-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 OTIS ST",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207122158",
            "telephone_number": "240-505-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAVON",
        "first_name": "ABLAWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2018-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Rainier, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; 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.