Maryam Ahmadi
Individual provider Active NPI In Home Supportive Care Agency · Tracy, CA
NPI 1962295972 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1962295972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 1167 Harris LN
Tracy, CA 95377-7932 - Phone
- (350) 229-1049
- NPI assigned
- May 23, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1167 Harris LN
Tracy, CA 95377-7932
Mailing address
1167 Harris LN
Tracy, CA 95377-7932
Phone (350) 229-1049
Other providers in Tracy, CA
- Dayana Aguirre-Rosas
- Anissa Aguirre
- Giselle Aguirre
- Vanessa Frances Aguirre
- Summer Ahmad
- Ahmad Ahmadzia
- Emily Ahnen
- Richa Ruchika Ahuja
- Tiana Ahumada
- Issa M Akbari
All providers in Tracy, CA · In Home Supportive Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. 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.