Individual provider Active NPI

Mary Louise Harrison Elamin, HOME HEALTH AIDE

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1386257681
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12089 Issued in DC
Practice address
8757 Georgia Ave Ste 600
Silver Spring, MD 20910-3742
Phone
(301) 652-7212
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12089 DC Primary

Addresses

Primary practice location

8757 Georgia Ave Ste 600
Silver Spring, MD 20910-3742

Mailing address

2538 Naylor Rd SE Apt 204
Washington, DC 20020-4028
Phone (202) 664-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA12089DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1386257681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 NAYLOR RD SE APT 204",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204028",
            "telephone_number": "202-664-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE STE 600",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103742",
            "telephone_number": "301-652-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON ELAMIN",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "HOME HEALTH AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.