Jeneba Bah
Individual provider Active NPI Case Manager/Care Coordinator · Odenton, MD
NPI 1194370809 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1194370809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 318 Old Forge LN
Odenton, MD 21113-2989 - Phone
- (240) 764-9280
- NPI assigned
- Aug 8, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA14085 | DC | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA14085 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
318 Old Forge LN
Odenton, MD 21113-2989
Mailing address
318 Old Forge LN
Odenton, MD 21113-2989
Phone (240) 764-9280
Other names
- Jeneba Bah
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All providers in Odenton, MD · Case Manager/Care Coordinator in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. 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.