1821435611 NPI number — AUGUST HOME CARE SERVICES, LLC

Table of content: MISS TAMMY TRAM QUYNH BUI LCSW (NPI 1366166852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821435611 NPI number — AUGUST HOME CARE SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUGUST HOME CARE SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821435611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8204 RED GATE CT
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
BOWIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20715-3368
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-728-0777
Provider Business Mailing Address Fax Number:
301-464-8181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8204 RED GATE CT
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
BOWIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20715-3368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-728-0777
Provider Business Practice Location Address Fax Number:
301-464-8181
Provider Enumeration Date:
06/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ADEBAYO
Authorized Official First Name:
KEHINDE
Authorized Official Middle Name:
ADEDOYIN
Authorized Official Title or Position:
ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official Telephone Number:
301-728-0777

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  R3406 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com