Jude Achaki Agyingi

Individual provider Active NPI Home Health Aide · Baltimore City, MD

NPI 1154749133 · NPPES record last updated Apr 7, 2014

Key facts

NPI
1154749133
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA10296 (DC)
Practice address
942 Montpelier Street
Baltimore City, MD 21218
Phone
(443) 345-7389
Fax
(410) 662-7217
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

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
HHA10296DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA10296 DC Yes

Addresses

Primary practice location

942 Montpelier Street
Baltimore City, MD 21218

Mailing address

942 Montpelier Street
Baltimore City, MD 21218
Phone (443) 345-7389

Other providers in Baltimore City, MD

All providers in Baltimore City, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.