Rose Brack
Individual provider Active NPI Home Health Aide · Washington, DC
NPI 1275895401 · NPPES record last updated Jun 13, 2012
Key facts
- NPI
- 1275895401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 7506 Georgia Ave NW
Washington, DC 20012-1608 - Phone
- (202) 291-6973
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
7506 Georgia Ave NW
Washington, DC 20012-1608
Mailing address
5702 16TH Ave Apt 203
Hyattsville, MD 20782-3546
Phone (240) 550-2855
Other providers in Washington, DC
- Lakeria Bracey
- Nakiya Raynise Bracey
- Nicole Bracey
- Michael Brachfeld
- Claudia Bracho Urbina
- Laura Katherine Bracken
- Rachel Bracken
- Laneka Brackett
- Tommy Jason Brackins
- Dawn Bracley
All providers in Washington, DC · Home Health Aide in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. 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.