ROSEFIDELIS OMNICARE, LLC (NPI# 1780103994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780103994 |
| Entity Type | Organization |
| Organization Name | ROSEFIDELIS OMNICARE, LLC |
| Practice Address |
3815 Alta Vista Drive Bowie MD 20721 |
| Practice Telephone | 2404130181 |
| Practice Fax Number | 3015771436 |
| Mailing Telephone | 2404130181 |
| Mailing Fax Number | 3015771436 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | MS. SCHOLASTICA NWABUEZE (CEO) |
| Authorized Official Telephone | 2404130181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers |
| Street Address |
3815 ALTA VISTA DRIVE |
| City | BOWIE |
| State | MD |
| Zip Code | 20721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| 1912454513 | Blessed Angels Home Healthcare Services | Day Training, Developmentally Disabled Services | 1806 Saint George's Way, Mitchellville, MD 20721 | 2016-09-01 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433679 | Ecia Mirian Tanu | Registered Nurse | 2600 Wallingford Ct, Bowie, MD 20721-3183 | 2020-10-07 |
| 1871104596 | Yashica Nakitia Ladejobi | Registered Nurse | 11511 Chantilly Ln, Bowie, MD 20721-2126 | 2020-08-14 |
| 1841834181 | Scw Healthcare Enterprises | Registered Nurse | 3032 Mitchellville Rd Ste 102, Bowie, MD 20716-1482 | 2019-10-30 |
| 1578125795 | Daisy's Love, LLC | Registered Nurse | 4405 Huntchase Dr, Bowie, MD 20720-3560 | 2019-07-09 |
| 1003371279 | Ignatius Ngobili | Registered Nurse | 10611 Foxlake Dr, Bowie, MD 20721-2604 | 2019-02-01 |
| 1306328497 | Patrick E Okpa | Registered Nurse | 15306 Echols Ct, Bowie, MD 20716-1266 | 2018-09-05 |
| 1164963823 | Joseph Tezi | Registered Nurse | 14013 Westview Forest Dr, Bowie, MD 20720-4867 | 2017-03-14 |
| 1598209660 | Eunice Perry | Registered Nurse | 14566 London Ln, Bowie, MD 20715-2557 | 2016-12-08 |
| 1487004859 | Magalie Stacie Lamour | Registered Nurse | 12809 Odens Bequest Dr, Bowie, MD 20720-5615 | 2016-06-16 |
| 1164763371 | Vicky Adam Jennifer | Registered Nurse | 2502 Sant Joseph Dr, Bowie, MD 20721 | 2013-03-13 |
| Find all providers in BOWIE | ||||
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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.