Medicaid Providers, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PENDING Issued in DC

Legal business name

MEDICAID PROVIDERS, LLC.

Doing business as

Medicaid Personal Providers, LLC.

Practice address

1875 Eye St NW
Suite 500
Washington, DC 20006-5409

Phone

(240) 533-2805

Fax

(301) 495-6332

NPI assigned

Jun 15, 2009

Last updated

Jun 15, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Lidiya F Abrham, MED. ASIS/PHELOB.

Title

Deputy Administrator

Phone

(240) 533-2503

Specialties & licenses 1

Addresses

Other names 1

• Medicaid Personal Providers, LLC. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1073740379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 EYE ST NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065409",
            "telephone_number": "240-533-2805",
            "fax_number": "301-495-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 EYE ST NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065409",
            "telephone_number": "240-533-2805",
            "fax_number": "301-495-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAID PROVIDERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "ABRHAM",
        "authorized_official_first_name": "LIDIYA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "240-533-2503",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MED. ASIS/PHELOB."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicaid Personal Providers, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yirgalem T Medhin
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• Medical Faculty Associates
• Medical Faculty Associates

• Home Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.