Mariama Bangura

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1700548591 · NPPES record last updated Oct 8, 2021

Key facts

NPI
1700548591
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5513 Illinois Ave NW
Washington, DC 20011-2937
Phone
(202) 882-9310
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Select Home Care Inc Past
since Oct 10, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5513 Illinois Ave NW
Washington, DC 20011-2937

Mailing address

5513 Illinois Ave NW
Washington, DC 20011-2937
Phone (202) 882-9310

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.