Active NPI
Madres Homecare Services LLC
- In Home Supportive Care Agency
- Gaithersburg, MD
National Provider Identifier
1104798263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MADRES HOMECARE SERVICES LLC
- Practice address
- 9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789 - Phone
- (301) 250-8368
- NPI assigned
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Magadalene Mutemasango
- Title
- Managing Member
- Phone
- (571) 606-6242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Mailing address
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone (301) 250-8368
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1104798263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 WASHINGTONIAN BLVD STE 550",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785789",
"telephone_number": "301-250-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 WASHINGTONIAN BLVD STE 550",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785789",
"telephone_number": "301-250-8368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADRES HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "MUTEMASANGO",
"authorized_official_first_name": "MAGADALENE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "571-606-6242"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.