MRS. JENNIFER CHINYERE MADUBUKO (NPI# 1245887116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245887116 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER CHINYERE MADUBUKO |
| Credential | MD |
| Practice Address |
1300 Mercantile Ln Ste 138d Largo MD 20774-5327 |
| Practice Telephone | 3013586458 |
| Mailing Telephone | 3013586458 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R4422 | MD | Agencies |
| Street Address |
1300 MERCANTILE LN STE 138D |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235786104 | First Option LLC | Home Health | 1300 Mercantile Ln Ste 138d, Largo, MD 20774-5327 | 2019-08-24 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1063953818 | Millennium Ventures Inc | Home Health | 9500 Arena Drive, Suite 440e, Largo, MD 20774 | 2017-03-13 |
| 1427595446 | D A Care Solution | Home Health | 3900 Belle Oak Blvd, Suite 109, Largo, FL 33771-2758 | 2017-01-28 |
| 1609323617 | K&s Unlimited Care Inc | Home Health | 801 W Bay Dr Ste 318, Largo, FL 33770-3264 | 2016-09-07 |
| 1578959284 | Dependable Reliable Service | Home Health | 705 Castlewood Dr, Largo, MD 20774-2212 | 2015-04-09 |
| 1265799456 | Kovais Medical Services | Home Health | 8811 Lottsford Rd, #335, Largo, MD 20774-4836 | 2012-04-12 |
| 1528378528 | Highly Blessed Healthcare Services | Home Health | 9251 Lottsford Rd Apt 3d, Largo, MD 20774-3769 | 2010-10-09 |
| 1326371980 | Nurse To You Home Health Care, Inc. | Home Health | 11621 Seminole Blvd, Largo, FL 33778-3207 | 2009-09-15 |
| 1780820910 | Peace, Inc | Home Health | 7411 114th Ave Ste 303, Largo, FL 33773-5108 | 2008-12-17 |
| 1922287598 | Physical Therapy Solutions LLC | Home Health | 8373 Denise Dr, Largo, FL 33777-2739 | 2007-10-30 |
| Find all providers in LARGO | ||||
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| 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.