NPIMap

Organization Active NPI

Healthcarebahn

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MD
National Provider Identifier
1962844209
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5000000000039429 Issued in MD
Legal business name
HEALTHCAREBAHN
Practice address
11106 Snowden Pond Rd
Laurel, MD 20708-3055
Phone
(443) 847-6810
NPI assigned
Jul 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Mr. Constantine Tita Asangong
Title
Business Manager
Phone
(443) 847-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5000000000039429 MD Primary

Addresses

Primary practice location

11106 Snowden Pond Rd
Laurel, MD 20708-3055

Mailing address

11106 Snowden Pond Rd
Laurel, MD 20708-3055
Phone (443) 847-6810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1962844209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 SNOWDEN POND RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083055",
            "telephone_number": "443-847-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 SNOWDEN POND RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083055",
            "telephone_number": "443-847-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCAREBAHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "ASANGONG",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "TITA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "443-847-6810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "5000000000039429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.