Healthcare Provider Details

I. General information

NPI: 1639969686
Provider Name (Legal Business Name): JOY JAMGBADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 SOUTHWOOD CT
BOWIE MD
20721-4210
US

IV. Provider business mailing address

1807 SOUTHWOOD CT
BOWIE MD
20721-4210
US

V. Phone/Fax

Practice location:
  • Phone: 240-899-3348
  • Fax:
Mailing address:
  • Phone: 240-899-3348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHHA200004878
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004876
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: