Individual provider Active NPI

Abosede Babatunde

  • Home Health Agency
  • Bowie, MD
National Provider Identifier
1952955536
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3732 Issued in MD
Practice address
3231 Superior LN Ste A6
Bowie, MD 20715-1939
Phone
(301) 675-0078
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3732 MD Primary

Addresses

Primary practice location

3231 Superior LN Ste A6
Bowie, MD 20715-1939

Mailing address

12627 Hillmeade Station Dr
Bowie, MD 20720-3312
Phone (301) 675-0078

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address inf@aboveandbeyondmd.com Health Information Exchange (HIE)
Direct Messaging Address info@aboveandbeyondmd.com Direct

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

State licenses

LicenseStateTypeSpecialty
R3732MDMDHome Health Agency

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1952955536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 HILLMEADE STATION DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203312",
            "telephone_number": "301-675-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SUPERIOR LN STE A6",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151939",
            "telephone_number": "301-675-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABATUNDE",
        "first_name": "ABOSEDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inf@aboveandbeyondmd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3231 Superior Ln Ste A6",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207151939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aboveandbeyondmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3231 Superior Ln Ste A6",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207151939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 31, 2019; 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.