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BASIRU SAMBA NPI 1548636269


NPI Information

NPI: 1548636269
Provider Name: BASIRU SAMBA
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Individual
Address:
4802 WILLES VISION DR
BOWIE, MD
ZIP 20720
Phone: (301) 284-0636
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Basiru Samba is a case manager care coordinator in Bowie, MD. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. Basiru Samba NPI is 1548636269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4802 WILLES VISION DR
BOWIE, MD
ZIP 20720-671
Phone: (301) 284-0636
Fax: (301) 542-0184

The enumeration date for this NPI number is 8/17/2015 and was last updated on 8/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseR159377MARYLANDNo
2163WA2000XRegistered NurseAdministratorR155931MARYLANDNo
3164W00000XLicensed Practical NurseLP34564MARYLANDNo
4174400000XSpecialistNo
5246Y00000XSpecialist/Technologist, Health InformationNo
6247200000XTechnician, OtherNo
7372500000XChore ProviderNo
8372600000XAdult CompanionNo
93747A0650XTechnicianAttendant Care ProviderNo
10374U00000XHome Health AideNo
11376G00000XNursing Home AdministratorNo
12376J00000XHomemakerNo
13376K00000XNurse's AideNo
14171M00000XCase Manager/Care CoordinatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.