Agendia Marieclare Chapajong
Individual provider Active NPI Home Health Aide · Lanham, MD
NPI 1366078073 · NPPES record last updated Mar 14, 2020
Key facts
- NPI
- 1366078073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 7740 Finns LN Apt C1
Lanham, MD 20706-1323 - Phone
- (860) 374-1143
- NPI assigned
- Mar 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Community Care Services LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
7740 Finns LN Apt C1
Lanham, MD 20706-1323
Mailing address
7740 Finns LN Apt C1
Lanham, MD 20706-1323
Phone (860) 374-1143
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | network | ||
| Other URL | network |
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2020. 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.