Liliane Fobasso

Individual provider Active NPI Home Health Aide · Montgomery Village, MD

NPI 1962370247 · NPPES record last updated Oct 28, 2025

Key facts

NPI
1962370247
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA200005634 (DC)
Practice address
9562 Nature TRL
Montgomery Village, MD 20886-3173
Phone
(240) 645-3825
NPI assigned
Oct 28, 2025
Sex
Female
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
HHA200005634DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200005634 DC Yes

Addresses

Primary practice location

9562 Nature TRL
Montgomery Village, MD 20886-3173

Mailing address

9562 Nature TRL
Montgomery Village, MD 20886-3173
Phone (240) 645-3825

Other providers in Montgomery Village, MD

All providers in Montgomery Village, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.