Bolanle Adisa
Individual provider Active NPI Home Health Aide · Hyattsville, MD
NPI 1164769840 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1164769840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 7713 Bender Road
Hyattsville, MD 20785 - Phone
- (240) 705-6219
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
7713 Bender Road
Hyattsville, MD 20785
Mailing address
7713 Bender Road
Hyattsville, MD 20785
Phone (240) 705-6219
Other providers in Hyattsville, MD
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- Bridget Adiet
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- Ehtbanch Admasu
- Nerline Adolphe
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All providers in Hyattsville, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.