ANNA JOMBO (NPI# 1083107692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083107692 |
| Entity Type | Individual |
| Full Name | ANNA JOMBO |
| Practice Address |
1309 Northern Lights Dr Upper Marlboro MD 20774-6056 |
| Practice Telephone | 2028279004 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1309 NORTHERN LIGHTS DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143612 | Daren Dwayne Browning | Technician | 4814 Parkmont Ln, Upper Marlboro, MD 20772-2740 | 2020-07-31 |
| 1346869591 | Oriana A. Severino De La Cruz | Technician | 10127 Prince Pl Apt 302, Upper Marlboro, MD 20774-1126 | 2020-04-08 |
| 1861039471 | D'ann Barnes | Technician | 10767 Campus Way S, Upper Marlboro, MD 20774-1313 | 2019-12-02 |
| 1669938338 | Shanice Henry | Technician | 7205 Crain Hwy, Upper Marlboro, MD 20772-4239 | 2019-02-18 |
| 1821584558 | Juanita Williams | Technician | 13620 Captain Marbury Ln, Upper Marlboro, MD 20772-6120 | 2018-07-05 |
| 1083100127 | Shalon Covington | Technician | 13807 Fareham Ln, Upper Marlboro, MD 20772-6954 | 2018-07-02 |
| 1255824181 | Ezekiel Atiroko | Technician | 61 Cable Hollow Way, Upper Marlboro, MD 20774-1021 | 2018-06-14 |
| 1538660345 | Lashanna Jillian Cox | Technician | 13003 Payton Dr, Upper Marlboro, MD 20774-1907 | 2018-02-27 |
| 1588170211 | Alice Kabia | Technician | 3536 Edwards St, Upper Marlboro, MD 20774-2623 | 2017-12-18 |
| 1396257226 | Ruth Ann Cannon | Technician | 7503 Locris Dr, Upper Marlboro, MD 20772-4434 | 2017-11-01 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on ANNA JOMBO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.