Brenda M Takoh
Individual provider Active NPI Nurse's Aide · Capitol Heights, MD
NPI 1396563839 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1396563839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- A00216962 (MD)
- Practice address
- 4650 Addison Rd
Capitol Heights, MD 20743-1003 - Phone
- (202) 541-9844
- NPI assigned
- Oct 2, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00216962 | MD | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linac Services Inc | Current |
Accepting new patients |
Locations
4650 Addison Rd
Capitol Heights, MD 20743
Phone (202) 541-9844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00216962 | MD | Yes |
Addresses
Primary practice location
4650 Addison Rd
Capitol Heights, MD 20743-1003
Mailing address
3004 Ewell LN
Hyattsville, MD 20785-1961
Phone (240) 761-1623
Other providers in Capitol Heights, MD
- Suburban Medical Equipment & Supplies, Inc.
- Louis Terrell Sweeney
- Melissa Sweeney
- Razia Parveen Sultana Syed
- Belofine Tai
- Stephanie Ayanna-Lynne Talbert
- Gwendoline Wubnyonga Tankoh
- Rita L Taylor
- Claudine Angiek Teboh
- Winifred Aaben Temban
All providers in Capitol Heights, MD · Nurse's 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 Oct 2, 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.