1ST AGILE HOMECARE LLC


Address: 10911 Pebble Run Dr, Silver Spring, MD 20902-3685
Phone: 3018022685

1ST AGILE HOMECARE LLC (NPI# 1154969590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154969590
Entity Type Organization
Organization Name 1ST AGILE HOMECARE LLC
Practice Address 10911 Pebble Run Dr
Silver Spring
MD 20902-3685
Practice Telephone 3018022685
Mailing Telephone 3018022685
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Authorized Official Name ROUGUIATOU BAH (OWNER)
Authorized Official Telephone 3018022685
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 10911 PEBBLE RUN DR
City SILVER SPRING
State MD
Zip Code 20902-3685

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

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Competitor

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City SILVER SPRING
Zip Code 20902

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Dataset Information

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.

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