Individual provider Active NPI

Grace Owole Emaikwu

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1972860773
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
E520288671812 Issued in MD
Practice address
9201 Sheridan St
Lanham, MD 20706-2703
Phone
(240) 705-2040
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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 E520288671812 MD Primary

Addresses

Primary practice location

9201 Sheridan St
Lanham, MD 20706-2703

Mailing address

9201 Sheridan St
Lanham, MD 20706-2703
Phone (240) 705-2040

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
E520288671812MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1972860773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 SHERIDAN ST",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062703",
            "telephone_number": "240-705-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SHERIDAN ST",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062703",
            "telephone_number": "240-705-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAIKWU",
        "first_name": "GRACE",
        "middle_name": "OWOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "E520288671812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.