Zynab Umu Bah

Individual provider Active NPI Homemaker · Trumbull, CT

NPI 1134814841 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1134814841
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
License
HCA.0001700 (CT)
Practice address
55 Merritt Blvd
Trumbull, CT 06611-5435
Phone
(086) 023-4725
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HCA.0001700CTMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Marisata Care LLC Homemaker Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X HCA.0001700 CT Yes

Addresses

Primary practice location

55 Merritt Blvd
Trumbull, CT 06611-5435

Mailing address

346 Turnpike Rd Unit 2307
Westborough, MA 01581-2906
Phone (860) 234-7254

Other providers in Trumbull, CT

All providers in Trumbull, CT · Homemaker in Connecticut

Sources for this page

Verify at the official NPI Registry.