Maycola Aceituno Suazo

Individual provider Active NPI Home Health Aide · Silver Spring, MD

NPI 1649038183 · NPPES record last updated Mar 11, 2024

Key facts

NPI
1649038183
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA200003525 (DC)
Practice address
11508 Elkin St Apt 4
Silver Spring, MD 20902-2856
Phone
(240) 596-9630
NPI assigned
Mar 11, 2024
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
HHA200003525DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200003525 DC Yes

Addresses

Primary practice location

11508 Elkin St Apt 4
Silver Spring, MD 20902-2856

Mailing address

11508 Elkin St Apt 4
Silver Spring, MD 20902-2856
Phone (240) 596-9630

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.