Active NPI
Tiruwork T Fantaye
- Home Health Aide
- Silver Spring, MD
National Provider Identifier
1053834366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3348 Castle Ridge Cir
Silver Spring, MD 20904-7321 - Phone
- (301) 237-6805
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3348 Castle Ridge Cir
Silver Spring, MD 20904-7321
Mailing address
3348 Castle Ridge Cir
Silver Spring, MD 20904-7321
Phone (301) 237-6805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053834366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 CASTLE RIDGE CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047321",
"telephone_number": "301-237-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3348 CASTLE RIDGE CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047321",
"telephone_number": "301-237-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTAYE",
"first_name": "TIRUWORK",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.