NPIMap

Organization Active NPI

Ijomah and Associates Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Capital Heights, MD
National Provider Identifier
1962588145
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
252508 Issued in MD
Legal business name
IJOMAH AND ASSOCIATES INC
Practice address
1106 Cedar Heights Dr
Capital Heights, MD 20784
Phone
(301) 925-9120
Fax
(301) 925-9120
NPI assigned
Oct 31, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Odera Valentine Ijomah, BA
Title
Program Administrator
Phone
(301) 925-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 252508 MD Primary

Addresses

Primary practice location

1106 Cedar Heights Dr
Capital Heights, MD 20784

Mailing address

PO Box 3153
Landover Hills, MD 20784
Phone (301) 925-9120

Other identifiers 1

IdentifierTypeStateIssuer
403391400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Ijomah and Associates Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1962588145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3153",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "20784",
            "telephone_number": "301-925-9120",
            "fax_number": "301-925-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CEDAR HEIGHTS DR",
            "city": "CAPITAL HEIGHTS",
            "state": "MD",
            "postal_code": "20784",
            "telephone_number": "301-925-9120",
            "fax_number": "301-925-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJOMAH AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "IJOMAH",
        "authorized_official_first_name": "ODERA",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "301-925-9120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "252508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403391400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capital Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.