Samantha Gibbs

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1740545102 · NPPES record last updated Feb 16, 2018

Key facts

NPI
1740545102
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA4858 (DC)
Practice address
1416 9TH St NW
Washington, DC 20001-3344
Phone
(202) 483-9111
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

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
HHA4858DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA4858 DC Yes

Addresses

Primary practice location

1416 9TH St NW
Washington, DC 20001-3344

Mailing address

1416 9TH St NW
Washington, DC 20001-3344
Phone (202) 483-9111

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.