Octavia Johnson
Home Health in District Heights, MD. Individual provider (NPI-1).
NPI number1164070850
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1164070850
- Entity type
- Individual (NPI-1)
- Name
- Octavia Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
7207 Beltz DrDistrict Heights, MD 20747-4601
Phone 202-210-4931
Mailing address
7207 Beltz DrDistrict Heights, MD 20747-4601
Phone 202-210-4931
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Home Health Agency providers in District Heights · All 344 providers in District Heights
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